Evidence map›Paper›PMID 28952598›Full record

ArticleBioengineering (Basel, Switzerland)2016

Finite Element Simulation and Additive Manufacturing of Stiffness-Matched NiTi Fixation Hardware for Mandibular Reconstruction Surgery.

Ahmadreza Jahadakbar, Narges Shayesteh Moghaddam, Amirhesam Amerinatanzi, David Dean, Haluk E Karaca, Mohammad Elahinia

Open access · goldAbstract read
In one paragraph

Article in Bioengineering (Basel, Switzerland), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.7field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 73 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Ahmadreza JahadakbarDynamic and Smart Systems Laboratory, The University of Toledo, Toledo, OH 43606, USA. ajahada@rockets.utoledo.edu.ORCID 0000-0001-8898-0100
Narges Shayesteh MoghaddamDynamic and Smart Systems Laboratory, The University of Toledo, Toledo, OH 43606, USA. Narges.ShayestehMoghaddam@rockets.utoledo.edu.
Amirhesam AmerinatanziDynamic and Smart Systems Laboratory, The University of Toledo, Toledo, OH 43606, USA. Amirhesam.Amerinatanzi@rockets.utoledo.edu.
David DeanDepartment of Plastic Surgery, The Ohio State University, Columbus, OH 43212, USA. David.Dean@osumc.edu.
Haluk E KaracaDepartment of Mechanical Engineering, The University of Kentucky, Lexington, KY 40506, USA. karacahaluk@uky.edu.
Mohammad ElahiniaDynamic and Smart Systems Laboratory, The University of Toledo, Toledo, OH 43606, USA. mohammad.elahinia@utoledo.edu.ORCID 0000-0003-3720-7067
University of Toledo · USThe Ohio State University · USUniversity of Kentucky · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Process parameters and post-processing heat treatment techniques have been developed to produce both shape memory and superelastic NiTi using Additive Manufacturing. By introducing engineered porosity, the stiffness of NiTi can be tuned to the level closely matching cortical bone. Using additively manufactured porous superelastic NiTi, we have proposed the use of patient-specific, stiffness-matched fixation hardware, for mandible skeletal reconstructive surgery. Currently, Ti-6Al-4V is the most commonly used material for skeletal fixation devices. Although this material offers more than sufficient strength for immobilization during the bone healing process, the high stiffness of Ti-6Al-4V implants can cause stress shielding. In this paper, we present a study of mandibular reconstruction that uses a dry cadaver mandible to validate our geometric and biomechanical design and fabrication (i.e., 3D printing) of NiTi skeletal fixation hardware. Based on the reference-dried mandible, we have developed a Finite Element model to evaluate the performance of the proposed fixation. Our results show a closer-to-normal stress distribution and an enhanced contact pressure at the bone graft interface than would be in the case with Ti-6Al-4V off-the-shelf fixation hardware. The porous fixation plates used in this study were fabricated by selective laser melting.

Indexed as

additive manufacturing (AM)finite element analysismandibular reconstructive surgeryporositystiffness matchingsuperelastic NiTi

Identifiers

PMID28952598
PMCPMC5597279
OpenAlexW2561246426

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.