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Biomechanical evaluation of unilateral subcondylar fracture of the mandible on the varying materials: A finite element analysis

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  • Bryan Taekyung Jung
  • Won Hyeon Kim
  • Byungho Park
  • Jong-Ho Lee
  • Bongju Kim
  • Jee-Ho Lee

Abstract

Fixation materials used in the surgical treatment of subcondylar fractures contribute to successful clinical outcomes. In this study, we simulated the mechanical properties of four fixation materials [titanium (Ti), magnesium alloy (Mg alloy), poly-L-lactic acid (PLLA), and hydroxyapatite/poly-L-lactide (HA-PLLA)] in a finite-element analysis model of subcondylar fracture. Two four-hole plates were fixed on the anterior and posterior surfaces of the subcondyle of the mandible. In the simulation model of a subcondylar fracture, we evaluated the stress distribution and mechanical deformation of fixation materials. The stress distribution conspicuously appeared on the condylar neck of the non-fractured side and the center of the anterior plate for all materials. More stress distribution to the biologic component appeared with HA-PLLA than with Ti or Mg alloy, but its effects were less prominent than that of PLLA. The largest deformation was observed with PLLA, followed by HA-PLLA, Mg alloy, and Ti. The results of the present study imply the clinical potential of the HA-PLLA fixation material for open reduction of subcondylar fractures.

Suggested Citation

  • Bryan Taekyung Jung & Won Hyeon Kim & Byungho Park & Jong-Ho Lee & Bongju Kim & Jee-Ho Lee, 2020. "Biomechanical evaluation of unilateral subcondylar fracture of the mandible on the varying materials: A finite element analysis," PLOS ONE, Public Library of Science, vol. 15(10), pages 1-14, October.
  • Handle: RePEc:plo:pone00:0240352
    DOI: 10.1371/journal.pone.0240352
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