ArticleFrontiers in bioengineering and biotechnology2022
Towards mechanobiologically optimized mandible reconstruction: CAD/CAM miniplates vs. reconstruction plates for fibula free flap fixation: A finite element study.
Article in Frontiers in bioengineering and biotechnology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Finite Element Analysis of Ultra-Short, Extra-Short, and Conventional Dental Implants in Fibula Free Flap Mandibular Reconstruction.Bioengineering (Basel, Switzerland) · 2026Article
- Sequentially coupled musculoskeletal multibody and finite element simulation for biomechanical modeling of the human masticatory system.Frontiers in bioengineering and biotechnology · 2026Article
- Primary fixation stability evaluation of pre-bent titanium miniplate configurations in mandibular reconstruction.Frontiers in bioengineering and biotechnology · 2026Article
- Prospective functional assessment after mandible reconstruction and bone healing assessment.Clinical oral investigations · 2025Article
- Effectiveness of Finite Element Modelling in Maxillofacial Surgery: A Review of Evidence from Saudi Arabia.Cureus · 2025Review
- First-in-human application of dynamic fluoroscopic analysis to quantify intersegmental motion in mandibular free flap reconstruction.Scientific reports · 2025Article
- Local mechanical stresses can explain the mechanoregulation of bone healing after mandibular reconstruction: an in silico study.Clinical oral investigations · 2025Article
- Impact of osteotomy angle on bone failure risk in a modified pull-through approach: a finite element analysis.BMC oral health · 2025Article
- Article
- Heterogeneous material models for finite element analysis of the human mandible bone - A systematic review.Heliyon · 2024Review
- Comparative study of CAD/CAM reconstruction and miniplates for patient-specific fixation in LCL-type mandibular reconstruction.Frontiers in oncology · 2024Article
- Optimizing efficiency in the creation of patient-specific plates through field-driven generative design in maxillofacial surgery.Scientific reports · 2023Article
- A tissue engineered 3D printed calcium alkali phosphate bioceramic bone graft enables vascularization and regeneration of critical-size discontinuity bony defectsFrontiers in bioengineering and biotechnology · 2023Article
- Biomechanical Integrity Following Hemimandibulectomy With Free Fibular Flap Reconstruction Under External Impact Loading - AnAnnals of maxillofacial surgeryArticle
- Article
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Authors and funding
9 authors.
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Abstract
Due to their advantages in applicability, patient-specific (CAD/CAM) reconstruction plates are increasingly used in fibula free flap mandible reconstruction. In addition, recently, CAD/CAM miniplates, with further advantages in postoperative management, have been introduced. However, biomechanical conditions induced by CAD/CAM systems remain partially unknown. This study aimed to evaluate the primary fixation stability of CAD/CAM fixators. For a patient-specific scenario, the biomechanical conditions induced in a one segmental fibula free flap stabilized using either a CAD/CAM reconstruction plate or CAD/CAM miniplates were determined using finite element analysis. The main output parameters were the strains between intersegmental bone surfaces and stresses in the fixation systems due to different biting scenarios. CAD/CAM miniplates resulted in higher mechanical strains in the mesial interosseous gap, whereas CAD/CAM reconstruction plate fixation resulted in higher strains in the distal interosseous gap. For all investigated fixation systems, stresses in the fixation systems were below the material yield stress and thus material failure would not be expected. While the use of CAD/CAM miniplates resulted in strain values considered adequate to promote bone healing in the mesial interosseous gap, in the distal interosseous gap CAD/CAM reconstruction plate fixation might result in more beneficial tissue straining. A mechanical failure of the fixation systems would not be expected.
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