Is there still a role for traditional methods in the management of fractures of the zygomatic complex?
Affiliation
Department of Plastic and Reconstructive Surgery, Cork University Hospital,, Ireland.Issue Date
2012-02-03T15:14:10ZMeSH
Accidental FallsAccidents, Traffic
Adolescent
Adult
Athletic Injuries/surgery
Child
Female
Follow-Up Studies
Fracture Fixation/*methods
Humans
Male
*Medical Audit
Middle Aged
Retrospective Studies
Treatment Outcome
Zygoma/*injuries/surgery
Zygomatic Fractures/etiology/*surgery
Metadata
Show full item recordCitation
Injury. 1998 Jul;29(6):413-5.Journal
InjuryPubMed ID
9813694Abstract
With the introduction of low-profile mini-plating systems, a trend has developed towards open reduction and rigid internal fixation (ORIF) of fractures of the cranio-facial skeleton. The current policy for management of zygomatic fractures in our unit is to attempt primary reduction by traditional methods, and proceed to ORIF in the event of unsatisfactory fracture stability or alignment. Over a one-year period, 109 patients underwent surgical correction of fractures of the zygomatic complex. Standard Gilles' elevation was performed in 71 cases, percutaneous elevation in three cases, and ORIF was performed in 35 cases. Mean follow-up was 190 days. One case of persistent infraorbital step and three cases of residual malar flattening were documented in patients who underwent Gilles or percutaneous elevation. Morbidity associated with ORIF was minimal. We conclude that while ORIF of zygomatic fractures may offer better results than traditional methods in the management of complex fractures, traditional methods still have a role to play in less complex fractures.Language
engISSN
0020-1383 (Print)0020-1383 (Linking)
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