A computer study of biodegradable plates for internal fixation of mandibular angle fractures.
OBJECTIVE
This computer-based study was performed to determine the suitability of small biodegradable plate systems for mandibular angle fractures.


METHODS
In a 3-dimensional computer model of the mandible, fracture mobility and plate strain were calculated for bite forces applied on 13 bite points on the dental arch. The angle fracture was fixed with 2 polylactide (PLA) midiplates or with 2 PLA maxiplates. The first plate was positioned buccally on the external oblique ridge. Two positions of the second plate were studied: halfway up the height of the mandible or on the lower border. Maximum fracture mobility was set at a limit of 150 microm to enable undisturbed fracture healing. Maximum plate strain was set at the yield strain of PLA.


RESULTS
Fixation with the PLA maxiplates, with the second plate positioned halfway up the height of the mandible, resulted in fracture mobility below the set limit for all bite points. For the other PLA fixation strategies, fracture mobility exceeded the set limit. Fixation with the second plate positioned halfway up the height of the mandible generally resulted in less fracture mobility than with the plate positioned on the lower border. The yield strain of PLA was not exceeded in any of the fixation strategies.


CONCLUSIONS
Based on the computer model, 2 PLA maxiplates are suitable for fixation of mandibular angle fractures. One plate should be positioned buccally on the external oblique ridge, and the other should be positioned halfway up the height of the mandible.
Tams
J
J
Department of Oral and Maxillofacial Surgery, University Hospital Groningen, The Netherlands. j.tams@med.rug.nl
Van Loon
J P
JP
Otten
B
B
Bos
R R
RR
D020341:Absorbable Implants; D001672:Biocompatible Materials / Q000737:chemistry; D001732:Bite Force; D001860:Bone Plates; D003198:Computer Simulation; D003724:Dental Arch / Q000503:physiopathology; D004867:Equipment Design; D005593:Fracture Fixation, Internal / Q000295:instrumentation* / Q000379:methods; D017102:Fracture Healing; D006801:Humans; D008337:Mandibular Fractures / Q000503:physiopathology / Q000601:surgery*; D008954:Models, Biological; D009068:Movement; D011091:Polyesters / Q000737:chemistry; D013314:Stress, Mechanical
D001672:Biocompatible Materials; D011091:Polyesters; C033616:poly(lactide)