악정형력 적용을 위한 골내 고정원으로서 미니플레이트 형상의 영향: 3차원 유한요소법적 연구
Influence of miniplate shapes as skeletal anchorage for application of orthopedic force: a three-dimensional finite element analysis.
이남기, 백승학, 최동순, 박영욱, 김지혁, 차봉근,
소속 상세정보
이남기 ( Lee Nam-Ki ) - 강릉대학교 치과대학 교정학교실
백승학 ( Baek Seung-Hak ) - 서울대학교 치의학전문대학원 교정학교실
최동순 ( Choi Dong-Soon ) - 강릉대학교 치과대학 교정학교실
박영욱 ( Park Young-Wook ) - 강릉대학교 치과대학 구강악안면외과학교실
김지혁 ( Kim Ji-Hyuck ) - 강릉대학교 치과대학 구강악안면외과학교실
차봉근 ( Cha Bong-Keun ) - 강릉대학교 치과대학 교정학교실
KMID : 0360120080300040345
Abstract
Purpose: This study was performed to evaluate the stress distribution in the bone and the displacement distribution of the miniscrew under orthopedic force with two different types of miniplate design as skeletal anchorage for orthopedic treatment.
Materials and Methods: Finite element models were made for 6-hole miniplate (0.8mm in thickness), which were designed in two different shapes-one is curvilinear shaped (C plate, Jeil Medical Co., Korea) and another, Y shaped (Y plate), fixed with 3 pieces of miniscrew 2mm-diameter and 6mm-long respectively. A traction force of 4 N was applied in 0 degrees, 30 degrees, and 60 degrees imaginary axis connecting two unfixed distalmost holes of the miniplate.
Results: The maximum von Mises stress in the bone was much greater in the cortical portion rather than in the cancellous portion. C plate showed greater maximum von Mises stress in the cortical bone than Y plate. The maximum displacement of the miniscrew was greater in C plate than Y plate. The more increased the angle of the applied orthopedic force, the greater maximum von Mises stress in the bone and maximum displacement of the miniscrew. It was observed that in C plate, the von Mises stress in the bone and displacement of the miniscrew were distributed around the distalmost screw-fixed area.
Conclusion: The results suggest that Y plate should have the advantage over C plate and in the placement of the miniplate, its imaginary axis should be placed as parallel as possible to the direction of orthopedic force to obtain its primary stability.
키워드
Miniplate;Skeletal anchorage;Primary stability;Finite element analysis
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