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In vivo study of human mandibular distraction osteogenesis

Wybrane pełne teksty z tego czasopisma
Identyfikatory
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Distraction Osteogenesis (DO) is a surgical technique used to reconstruct bone defects. The evolution of forces acting during DO is known to be strongly influencing the clinical issue of the treatment. The aim of this study was to determine experimentally the timedependent forces imposed on bone regenerate by a distraction device in the case of a mandibular DO consecutive to a gunshot wound. To evaluate the bone transport forces, some fixing pins of the distraction device were equipped with strain gauges. Measurements were done during the first weeks of the treatment. An equilibrium analysis was achieved to determine the forces acting in bone regenerate from strains in the pins. Those quantities evolved during the records approximately from 5 N to 3–4 N and 2 N to 0–0.3 N for the tension and shear forces, respectively, depending on the record duration. For the longest record, the callus lengthening reached 0.17 mm during 75 minutes. This decrease of force and simultaneous callus extension can be attributed to the viscosity of regenerate and the elastic energy release of the device. Essential data were obtained concerning forces, extension and their evolution during mandibular DO. The low force level obtained was attributed to the absence of resistance of the soft tissues in the case of ballistic trauma restoration.
Rocznik
Strony
3--14
Opis fizyczny
Bibliogr. 15 poz., rys., tab
Twórcy
autor
autor
autor
autor
  • Laboratory of Mechanics, Biomechanics, Polymers and Structures, Ecole Nationale d’Ingénieurs de Metz, Metz, France
Bibliografia
  • [1] ILIZAROV G.A., The Tension-Stress Effect on the Genesis and Growth of Tissues. Part II. The Influence of the Rate and Frequency of Distraction, Clin. Orthop. Relat. Res., 1989, 239, 263–285.
  • [2] ILIZAROV G.A., The principles of the Ilizarov method, Bull. Hosp. Jt Dis. Orthop. Inst., 1988, 48, 1–11.
  • [3] KARP N.S., THORNE C.H., MCCARTHY J.G., SISSONS H.A., Bone lengthening in the craniofacial skeleton, Ann. Plas. Surg., 1990, 24, 231–237.
  • [4] MCCARTHY J.G., SCHREIBER J., KARP N., THORNE C.H., GRAYSON B.H., Lengthening the human mandible by gradual distraction, Plast. Reconstr. Surg., 1992, 89, 1–8.
  • [5] LABBÉ D., NICOLAS J., KALUZINSKI E., SOUBEYRAND E., SABIN P., COMPÈRE J.F., BÉNATEAU H., Gunshot Wounds: Reconstruction of the lower face by osteogenic distraction, Plast. Reconstr. Surg., 2005, 116, 1596–1603.
  • [6] ROBINSON R.C., O’NEAL B.J., ROBINSON G.H., Mandibular distraction force: laboratory data and clinical correlation, J. Oral. Maxil. Surg., 2001, 59, 539–544.
  • [7] LOBOA E.G., FANG T.D., WARREN S.M., LINDSEY D.P., FONG K.D., LONGAKER M.T., CARTER D.R., Mechanobiology of mandibular distraction osteogenesis: experimental analyses with a rat model, Bone, 2004, 34, 336–343.
  • [8] ARONSON J., Experimental and clinical experience with distraction osteogenesis, Cleft Palate-Cran. J., 1994, 31, 473–481.
  • [9] ARONSON J., HARP J.H., Mechanical forces as predictors of healing during tibial lengthening by distraction osteogenesis, Clin. Orthop. Relat. Res., 1994, 301, 73–79.
  • [10] BRUNNER U.H., CORDEY J., SCHWEIBERER L., PERREN S.M., Force required for bone segment transport in the treatment of large bone defects using medullary nail fixation, Clin. Orthop. Relat. Res., 1994, 301, 147–155.
  • [11] GARDNER T.N., EVANS M., SIMPSON A.H., KENWRIGHT J., A method of examining the magnitude and origin of soft and hard tissue forces resisting limb-lengthening, J. Biomed. Eng., 1997, 19, 405–411.
  • [12] GARDNER T.N., EVANS M., SIMPSON H., KENWRIGHT J., Force-displacement behaviour of biological tissue during distraction osteogenesis, Med. Eng. Phys., 1998, 20, 708–715.
  • [13] HOLLIS J.M., ARONSON J., HOFMANN O.E., Differential loads in tissues during limb lengthening, Trans. Orthop. Res. Soc., 1992, 14, 388–389.
  • [14] WOLFSON N., HEARN T.C., THOMASON J.J., ARMSTRONG P.F., Force and stiffness changes during Ilizarov leg lengthening, Clin. Orthop. Relat. Res., 1990, 250, 58–60.
  • [15] YOUNGER A.S.E., MACKENZIE W.G., MORRISON J.B., Femoral forces during limb lengthening in children, Clin. Orthop. Relat. Res., 1994, 301, 55–63.
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-article-BPBD-0003-0028
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