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March 3, 2026Journal of Oral Biology and Craniofacial Research1 citationsOpen Access

Finite element biomechanical comparison of bone-driven and occlusion-driven fibular flap positioning in lateral segmental mandibular reconstruction

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DFDmytro FilonenkoBogomolets National Medical UniversityYCYurii ChepurnyiBogomolets National Medical UniversityMKMykola KryshchukNational Technical University of Ukraine “Igor Sikorsky Kyiv Polytechnic Institute”

Key Points

  • More favorable stress-strain conditions occur with a higher position of the bone component in fibular flaps, enhancing osseointegration.
  • Optimal load distribution in the higher alveolar-crest position may lead to better long-term function.
  • The study highlights the importance of flap positioning in promoting effective biomechanical properties for successful reconstruction.
  • Biomechanical analysis shows key differences in stress environments that can influence surgical outcomes and patient's recovery.

Abstract

A higher (alveolar-crest) position of the bone component of the FFF yields a more favorable stress-strain environment and load distribution, supporting more favorable biomechanical conditions for osseointegration and long-term function.

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Cite This Study

Filonenko et al. (2026) studied this question.

synapsesocial.com/papers/69a767e7badf0bb9e87e2d40https://doi.org/10.1016/j.jobcr.2026.101419
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Vascularized Free Fibular Flap in Oral and Maxillofacial Reconstruction: A 20-year Experience at a Single Institution Using 2640 Flaps2023 · 8 citations
  2. 2Mechanical properties of trabecular bone in the human mandible: Implications for dental implant treatment planning and surgical placement1999 · 504 citations
  3. 3Alberta reconstructive technique ( ART ): An innovative approach using digital surgical design and simulation in advanced jaw reconstruction with occlusion‐based prefabricated vascularized fibular flaps and primary osseointegrated implant installation2024 · 4 citations
  4. 4Fibula free flap mandible reconstruction1994 · 54 citations
  5. 5Finite element analysis of newly introduced plates for mandibular condyle neck fracture treatment by open reduction and rigid fixation2017 · 13 citations