Doctor of Philosophy, University of Toledo, 2020, Engineering
The standard of care for mandibular segmental defects is the use of Ti-6Al-4V (i.e. surgical grade 5 Titanium or Ti64) skeletal fixation plates and screws. There is a significant stiffness mismatch between the Ti64 skeletal fixation plates and the cortical bone. Although these high stiff Ti64 skeletal fixation plates provide enough immobilization immediately after the surgery, when the bones heal, the high level of stiffness disturbs the loading distribution. The result is stress shielding in the surrounding bone which may lead to bone resorption and eventually could lead to failure of the surgery.
NiTi (i.e. Nickel-Titanium or Nitinol) is a biocompatible, shape memory alloy that offers interesting features, such as superelasticity. Additionally, NiTi has a lower stiffness than Ti64 which can be further reduced by imposing porosity. With the proper choice of the level and type of porosity, one can reduce the NiTi stiffness to that of the cortical bone. Thanks to the superelastic property of NiTi, the risk of stress concentration and increased strain levels due to imposing porosity does not lead to early failure of the porous NiTi structure than if it were formed from Ti64. Therefore, making superelastic NiTi a more suitable candidate for such applications.
Additive manufacturing (AM) is a relatively new method of fabrication that enables the fabrication of parts directly from a CAD file. In this method, the CAD file is sliced into thin layers, and then the part is fabricated in a layer-by-layer approach. Recently, additive manufacturing has been used for the fabrication of NiTi parts. It is, therefore, possible to fabricate complex-shape porous NiTi components such as the devices for mandibular segmental repair surgery.
As a solution to the stress shielding problem of the mandibular reconstruction surgery, in this work, we have introduced NiTi patient-specific, stiffness matched bone fixation plates. The proposed bone fixation plates are designed based on a (open full item for complete abstract)
Committee: Mohammad Elahinia (Committee Chair); David Dean (Committee Member); Matthew J. Franchetti (Committee Member); Mohammad Mahtabi (Committee Member); Reza Rizvi (Committee Member)
Subjects: Biomechanics; Biomedical Engineering; Engineering; Mechanical Engineering