PARADIGM IN AETIOLOGY AND MANAGEMENT OF ZYGOMATIC COMPLEX FRACTURES IN PAKISTAN
Abstract
Objective: The purpose of this study was to compare the outcome of wire osteosynthesis with boneplating in the management of zygomatic complex (ZMC) fractures. The rationale was to enable the oral
and maxillofacial surgeon to select either of the treatment procedure with confidence. Methods: In this
quasi experimental study, Sixty five patients of ZMC fractures were randomly allocated in groups of
bone plating and wire osteosynthesis. This was done through envelope draw method. Three points
fixation with either of the treatment modality was undertaken. Titanium bone plating or stain less steel
wire osteosynthesis was carried out at frontozygomatic suture, infra orbital rim and at
zygomaticomaxillary buttress. Results: In this quasi experimental study, three patients failed to follow
up. There were 31 patients in each group. Infra orbital step defect was observed in one patient of wire
osteosynthesis and two patients of bone plating. Mild facial deformity was observed in two patients of
wire osteosynthesis while none in that of bone plating. Conclusion: There is insignificant difference of
proportion of infra orbital step defect and facial deformity between wire osteosynthesis and bone plating.
Keywords: Zygomatic complex fracture; wire osteosynthesis; titanium bone plating, infra orbital step
defect; facial deformity; malar flattening
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