Journal of Oral and Maxillofacial Surgery
Volume 65, Issue 11 , Pages 2148-2158 , November 2007

Mechanical Strength and Stiffness of Biodegradable and Titanium Osteofixation Systems

  • Gerrit J. Buijs, DMD

      Affiliations

    • PhD Student, Department of Oral and Maxillofacial Surgery, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
    • Corresponding Author InformationAddress correspondence and reprint requests to Dr Buijs: Department of Oral and Maxillofacial Surgery, University Medical Center Groningen, University of Groningen, Hanzeplein 1, PO Box 30.001, 9700 RB Groningen, The Netherlands
    • ,
  • Eduard B. van der Houwen, MSc

      Affiliations

    • PhD Student, Department of BioMedical Engineering, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
    • ,
  • Boudewijn Stegenga, DMD, MSc, PhD

      Affiliations

    • Professor, Department of Oral and Maxillofacial Surgery, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
    • ,
  • Rudulf R.M. Bos, DMD, PhD

      Affiliations

    • Professor, Department of Oral and Maxillofacial Surgery, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
    • ,
  • Gijsbertus J. Verkerke, MSc, PhD

      Affiliations

    • Professor, Department of BioMedical Engineering, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands; and the Department of Biomechanical Engineering, University of Twente, Enschede, The Netherlands.

References 

  1. Bowers DG, Lynch JB. Management of facial fractures. South Med J. 1977;70:910
  2. Harle F, Champy M, Terry BC. Atlas of Craniomaxillofacial Osteosynthesis. In: Ed 1. New York: Thieme; 1999;p. 3–7
  3. Luhr HG. The development of modern osteosynthesis. Mund Kiefer Gesichtschir. 2000;1(suppl 4):84
  4. Stoelinga PJ, Borstlap WA. The fixation of sagittal split osteotomies with miniplates: The versatility of a technique. J Oral Maxillofac Surg. 2003;61:1471
  5. Matthews NS, Khambay BS, Ayoub AF, et al. Preliminary assessment of skeletal stability after sagittal split mandibular advancement using a bioresorbable fixation system. Br J Oral Maxillofac Surg. 2003;41:179
  6. Bostman O. Economic considerations on avoiding implant removals after fracture fixation by using absorbable devices. Scand J Soc Med. 1994;22:41
  7. Juutilainen T, Patiala H, Ruuskanen M, et al. Comparison of costs in ankle fractures treated with absorbable or metallic fixation devices. Arch Orthop Trauma Surg. 1997;116:204
  8. Rokkanen PU, Bostman O, Hirvensalo E, et al. Bioabsorbable fixation in orthopaedic surgery and traumatology. Biomaterials. 2000;21:2607
  9. Goldstein JA. The use of bioresorbable material in craniofacial surgery. Clin Plast Surg. 2001;28:653
  10. Peltoniemi HH, Ahovuo J, Tulamo RM, et al. Biodegradable and titanium plating in experimental craniotomies: A radiographic follow-up study. J Craniofac Surg. 1997;8:446
  11. Rozema FR, Levendag PC, Bos RR, et al. Influence of resorbable poly(L-lactide) bone plates and screws on the dose distributions of radiotherapy beams. Int J Oral Maxillofac Surg. 1990;19:374
  12. Penman HG, Ring PA. Osteosarcoma in association with total hip replacement. J Bone Joint Surg Br. 1984;66:632
  13. Yaremchuk MJ, Posnick JC. Resolving controversies related to plate and screw fixation in the growing craniofacial skeleton. J Craniofac Surg. 1995;6:525
  14. Yerit KC, Hainich S, Turhani D, et al. Stability of biodegradable implants in treatment of mandibular fractures. Plast Reconstr Surg. 2005;115:1863
  15. Ghali GE, Sinn DP, Tantipasawasin S. Management of nonsyndromic craniosynostosis. Atlas Oral Maxillofac Surg Clin North Am. 2002;10:1
  16. Suuronen R, Laine P, Pohjonen T, et al. Sagittal ramus osteotomies fixed with biodegradable screws: A preliminary report. J Oral Maxillofac Surg. 1994;52:715
  17. Suuronen R, Kallela I, Lindqvist C. Bioabsorbable plates and screws: Current state of the art in facial fracture repair. J Craniomaxillofac Trauma. 2000;6:19
  18. Bostman OM, Pihlajamaki HK. Adverse tissue reactions to bioabsorbable fixation devices. Clin Orthop Relat Res. 2000;2:216
  19. Bostman O, Hirvensalo E, Makinen J, et al. Foreign-body reactions to fracture fixation implants of biodegradable synthetic polymers. J Bone Joint Surg Br. 1990;72:592
  20. Bergsma JE, de Bruijn WC, Rozema FR, et al. Late degradation tissue response to poly(L-lactide) bone plates and screws. Biomaterials. 1995;16:25
  21. Bergsma EJ, Rozema FR, Bos RR, et al. Foreign body reactions to resorbable poly(L-lactide) bone plates and screws used for the fixation of unstable zygomatic fractures. J Oral Maxillofac Surg. 1993;51:666
  22. Cheung LK, Chow LK, Chiu WK. A randomized controlled trial of resorbable versus titanium fixation for orthognathic surgery. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004;98:386
  23. Turvey TA, Bell RB, Tejera TJ, et al. The use of self-reinforced biodegradable bone plates and screws in orthognathic surgery. J Oral Maxillofac Surg. 2002;60:59
  24. Edwards TJ, David DJ. A comparative study of miniplates used in the treatment of mandibular fractures. Plast Reconstr Surg. 1996;97:1150
  25. Buijs GJ, Stegenga B, Bos RR. Efficacy and safety of biodegradable osteofixation devices in oral and maxillofacial surgery: A systematic review. J Dent Res. 2006;85:980
  26. Buijs GJ, Houwen EB, Stegenga B, et al. Torsion strength of biodegradable and titanium screws: A comparison. vd J Oral Maxillofac Surg. 2007;65:2142
  27. Shetty V, Caputo AA, Kelso I. Torsion-axial force characteristics of SR-PLLA screws. J Craniomaxillofac Surg. 1997;25:19
  28. Champy M, Lodde JP, Jaeger JH, et al. Mandibular osteosynthesis according to the Michelet technic I (Biomechanical bases). Rev Stomatol Chir Maxillofac. 1976;77:569
  29. Ralph JP, Caputo AA. Analysis of stress patterns in the human mandible. J Dent Res. 1975;54:814
  30. Dolanmaz D, Uckan S, Isik K, et al. Comparison of stability of absorbable and titanium plate and screw fixation for sagittal split ramus osteotomy. Br J Oral Maxillofac Surg. 2004;42:127
  31. Tams J, van Loon JP, Rozema FR, et al. A three-dimensional study of loads across the fracture for different fracture sites of the mandible. Br J Oral Maxillofac Surg. 1996;34:400
  32. Engroff SL, Blanchaert RH, Von Fraunhofer JA. Mandibulotomy fixation: A laboratory analysis. J Oral Maxillofac Surg. 2003;61:1297
  33. Cox T, Kohn MW, Impelluso T. Computerized analysis of resorbable polymer plates and screws for the rigid fixation of mandibular angle fractures. J Oral Maxillofac Surg. 2003;61:481

PII: S0278-2391(07)00476-4

doi: 10.1016/j.joms.2007.04.010

Journal of Oral and Maxillofacial Surgery
Volume 65, Issue 11 , Pages 2148-2158 , November 2007

Article Tools

* Image Usage & Resolution