The concept of biodegradable bone fixation devices, which provide sufficient rigidity to allow fracture healing and resorption thereafter, has significant appeal in cranio-maxillofacial trauma treatment; however, biodegradable bone fixation devices have not yet become available for clinical use in the craniofacial skeleton. This article reviews the obstacles in developing a resorbable polymer bone fixation system and describes the initial use of such a system in the treatment of cranio-maxillofacial trauma patients. It also discusses the potential role of a resorbable polymer bone fixation system in conjunction with the use of metal fixation in the management of facial fracture.
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Hua Xi Kou Qiang Yi Xue Za Zhi
February 2025
Dept. of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Bengbu Medical University, Bengbu 233004, China.
Objectives: This study aims to analyze the biomechanics of three kinds of rigid internal fixation methods for condylar head fractures.
Methods: A three dimensional finite element model of the normal mandible was constructed. It was then used to prepare condylar head fracture finite element model and three kinds of rigid internal fixation finite element model (unilateral tension screw, bilateral tension screw, tension screw+titanium plate).
Langmuir
January 2025
Department of Biomaterials, Faculty of Dental Science, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, Japan.
Titanium alloy plates are often used for fixation to bone. However, the plates often need to be removed due to infection and adverse inflammation. To avoid these problems, we immobilized copper, which has antibacterial effects and low cytotoxicity, on titanium plates by immersing the titanium in copper-tris(hydroxymethyl)aminomethane complex solutions.
View Article and Find Full Text PDFBiomed Eng Online
January 2025
The Fourth People's Hospital of Wujiang District, Suzhou, 215231, Jiangsu Province, People's Republic of China.
With precise control of smart materials deformation in time dimension, doctors can customize orthopedic implants. This review focuses on the advances of 4D printing technology in orthopedics, including its applications in bone repair and reconstruction, personalized treatment, and drug delivery. 4D printing enables the creation of bionic scaffolds and fixation devices for bone repair, customized implants matching patients' conditions for personalized treatment, and specific carriers for accurate drug release and delivery, which together contribute to accelerating bone healing, providing exclusive treatments, enhancing therapeutic effects and reducing side effects, thus helping improve orthopedic medicine.
View Article and Find Full Text PDFSci Rep
January 2025
Departmant of Orthopedics and Traumatology, Liv Ulus Hospital, Istanbul, Turkey.
Locking plates have a rapidly growing process especially in the past decades and results are satisfactory especially in the osteoporotic bones compared to non-locking compression plates. There are many forms of failure in the fracture fixation of locking plates, and screw pull-out is one of the main failure reasons. In this study, we aim to investigate pull-out failure in locking plates using locking spongious screws.
View Article and Find Full Text PDFFoot Ankle Surg
January 2025
Department of Trauma and Orthopaedic Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Background: The medial malleolus is involved in up to 50 % of ankle fractures. When surgery is required, a thorough understanding of bone mass distribution within the distal tibia is crucial for selecting and positioning screws to ensure stable fixation. Despite its clinical significance, data on the bone mass distribution in the distal tibia remains limited.
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