In vitro comparison of biomechanical characteristics of sagittal split osteotomy fixation techniques.

Abstract:

:The aim of the present study was to compare the biomechanical stability of 10 different fixation methods used in sagittal split osteotomy. Twenty-five fresh sheep mandibles were stripped of all soft tissues and sectioned at the midline. A sagittal split osteotomy with 5mm advancement was performed on each hemimandible. The hemimandibles were randomly divided into 10 groups of 5, and then fixed with 5 different bicortical screws, 4 different miniplates with or without bicortical screws, and 1 resorbable screw configuration. All specimens were mounted on a specially designed 3-point biomechanical test model and compression loads were applied using the Lloyd LRX testing machine until 3mm displacement was reached. Load/displacement data were gathered and compared using the Mann-Whitney U-test with Bonferroni correction (P<0.01). The 3 bicortical screws in an inverted backward-L pattern provided the most biomechanical stability of the screw patterns tested. The miniplate fixed obliquely with 2 bicortical screws in the proximal segment provided the most biomechanical stability of the miniplate groups.

authors

Ozden B,Alkan A,Arici S,Erdem E

doi

10.1016/j.ijom.2006.03.001

subject

Has Abstract

pub_date

2006-09-01 00:00:00

pages

837-41

issue

9

eissn

0901-5027

issn

1399-0020

pii

S0901-5027(06)00142-1

journal_volume

35

pub_type

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