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  • Title: Strength analysis of Le Fort I osteotomy fixation: titanium versus resorbable plates.
    Author: Araujo MM, Waite PD, Lemons JE.
    Journal: J Oral Maxillofac Surg; 2001 Sep; 59(9):1034-9; discussion 1039-40. PubMed ID: 11526573.
    Abstract:
    PURPOSE: The purpose of this study was to compare the biomechanical characteristics of metallic and polymeric fixation systems using a 3-dimensional skull model to simulate clinical conditions of maxillary advancement and loading. MATERIAL AND METHODS: Standard titanium, prebent titanium, and resorbable plates and mesh were applied to surgically altered polyurethane skulls. The constructs were loaded using an Instron machine (Instron Inc, Canton, MA) in anterior-posterior (AP) and inferior-superior (IS) directions. The load displacement, load to failure, and deformation magnitudes and modes of failure were recorded. Statistical studies included analysis of variance (ANOVA) at P <.05. RESULTS: Elastic stiffness was different among groups in the AP direction, but no significant difference was found in the IS direction. The IS loading direction load displacement (stiffness) was significantly greater than that on AP loading. The maximum load for permanent deformation was larger in the AP direction, while the maximum load for breaking was larger in the IS direction. CONCLUSION: The overall evaluation of the model and test analyses supported the relative value of this in vitro system and study procedure. All systems showed load capacity magnitudes above 285 N (64 lbs) and more elastic resistance in the IS direction. The resorbable systems showed lower elastic stiffness compared with the titanium systems, but they appear to be adequate for fixation and withstanding the forces of mastication.
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