Assessment of cranial reconstruction utilizing various implant materials: finite element study.
Finite Element Analysis
Humans
Skull
/ surgery
Titanium
/ chemistry
Biocompatible Materials
/ chemistry
Materials Testing
Zirconium
/ chemistry
Plastic Surgery Procedures
/ methods
Stress, Mechanical
Prostheses and Implants
Durapatite
/ chemistry
Polymethyl Methacrylate
/ chemistry
Aluminum Oxide
/ chemistry
Tensile Strength
Skull Fractures
/ surgery
Compressive Strength
Cranial implant
Craniectomy
Cranioplasty
Hydroxyapatite
PMMA
Journal
Journal of materials science. Materials in medicine
ISSN: 1573-4838
Titre abrégé: J Mater Sci Mater Med
Pays: United States
ID NLM: 9013087
Informations de publication
Date de publication:
13 Aug 2024
13 Aug 2024
Historique:
received:
23
02
2024
accepted:
24
07
2024
medline:
13
8
2024
pubmed:
13
8
2024
entrez:
13
8
2024
Statut:
epublish
Résumé
The human head can sometimes experience impact loads that result in skull fractures or other injuries, leading to the need for a craniectomy. Cranioplasty is a procedure that involves replacing the removed portion with either autologous bone or alloplastic material. While titanium has traditionally been the preferred material for cranial implants due to its excellent properties and biocompatibility, its limitations have prompted the search for alternative materials. This research aimed to explore alternative materials to titanium for cranial implants in order to address the limitations of titanium implants and improve the performance of the cranioplasty process. A 3D model of a defective skull was reconstructed with a cranial implant, and the implant was simulated using various stiff and soft materials (such as alumina, zirconia, hydroxyapatite, zirconia-reinforced PMMA, and PMMA) as alternatives to titanium under 2000N impact forces. Alumina and zirconia implants were found to reduce stresses and strains on the skull and brain compared to titanium implants. However, PMMA implants showed potential for causing skull damage under current loading conditions. Additionally, PMMA and hydroxyapatite implants were prone to fracture. Despite these findings, none of the implants exceeded the limits for tensile and compressive stresses and strains on the brain. Zirconia-reinforced PMMA implants were also shown to reduce stresses and strains on the skull and brain compared to PMMA implants. Alumina and zirconia show promise as alternatives to titanium for the production of cranial implants. The use of alternative implant materials to titanium has the potential to enhance the success of cranial reconstruction by overcoming the limitations associated with titanium implants.
Identifiants
pubmed: 39136804
doi: 10.1007/s10856-024-06816-9
pii: 10.1007/s10856-024-06816-9
doi:
Substances chimiques
Titanium
D1JT611TNE
Biocompatible Materials
0
Zirconium
C6V6S92N3C
zirconium oxide
S38N85C5G0
Durapatite
91D9GV0Z28
Polymethyl Methacrylate
9011-14-7
Aluminum Oxide
LMI26O6933
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
50Informations de copyright
© 2024. The Author(s).
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