基于三维生物力学固定的多孔一体化髁突假体设计及生物力学研究
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1.西安医学院;2.西安交通大学

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陕西省教育厅青年创新团队项目(24JP173);西安市未央区科工局项目(202409);陕西省科技厅计划项目(2024JC-YBQN-0966);西安医学院能力提升项目(2024NLTS071)


Design and Biomechanical Study of a Porous Integrated Condylar Prosthesis Based on the "Three-Dimensional Biomechanical Fixation" Theory
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1.Xi’ an Medical University;2.Xi’an Jiaotong University

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    摘要:

    目的 针对传统颞下颌关节置换术中假体螺钉松动、骨整合不足及翼外肌功能重建困难等问题,基于“三维生物力学固定”理论与“结构-功能-生物适配性”一体化理念,设计三维固定多孔髁突假体并验证其力学性能。方法 采用有限元分析评估假体在牙尖交错位、切牙咬合位、左/右侧磨牙咬合位、左/右组牙功能位6种咬合条件下的生物力学特征,通过体外压缩实验验证其力学性能。结果 假体实体部分与多孔区域最大应力分别为144.77 MPa和15.79 MPa,螺钉最大应力为21.12 MPa(螺钉#4);下颌骨皮质骨及松质骨最大应力分别为30.0 MPa和6.29 MPa,最大应变分别1660με和2250με。力学测试证实假体最大承受力达(5718.74±795.26)N。结论 本研究设计并制备出力学强度、骨整合及功能重建协同优化的髁突假体,其应力应变分布均匀,其三维固定结构可降低螺钉松动风险,多孔设计促进骨整合,为国产化假体的结构优化提供量化参考。

    Abstract:

    Objective To address the problems of loosening of prosthetic screws, insufficient bone integration, and difficulty in reconstructing the function of the lateral pterygoid muscle in traditional temporomandibular joint replacement surgery, based on the theory of "three-dimensional biomechanical fixation" and the integrated concept of "structure function biological compatibility", a three-dimensional fixed porous condyle prosthesis is designed and its mechanical properties are verified. Method Finite element analysis was used to evaluate the biomechanical characteristics of the prosthesis under six conditions:The intercuspal position, incisal clench, left and right unilateral molar clench, and left and right group function. The mechanical properties were verified through in vitro compression experiments. Results The maximum stresses in the solid part and porous area of the prosthesis were 144.77 MPa and 15.79 MPa, respectively, while the maximum stress in the screw was 21.12 MPa (screw # 4); The maximum stress of the cortical bone and trabecular bone of the mandible are 30.0 MPa and 6.29 MPa, respectively, and the maximum strain is 1660με and 2250με, respectively. Mechanical testing has confirmed that the maximum bearing capacity of the prosthesis is (5718.74±795.26) N. Conclusion This study designed and prepared condylar prostheses that optimize mechanical strength, bone integration, and functional reconstruction simultaneously. The stress-strain distribution of these prostheses is uniform, their three-dimensional fixation structure reduces the risk of screw loosening, and their porous design promotes bone integration, providing a quantified reference for structural optimization of domestically produced prostheses.

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  • 收稿日期:2025-07-31
  • 最后修改日期:2025-08-19
  • 录用日期:2025-08-25
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