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March 3, 2026Journal of Oral Biology and Craniofacial Research0 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 FilonenkoYCYurii ChepurnyiMKMykola Kryshchuk

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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