PARADIGM IN AETIOLOGY AND MANAGEMENT OF ZYGOMATIC COMPLEX FRACTURES IN PAKISTAN
AbstractObjective: 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 oraland maxillofacial surgeon to select either of the treatment procedure with confidence. Methods: In thisquasi experimental study, Sixty five patients of ZMC fractures were randomly allocated in groups ofbone plating and wire osteosynthesis. This was done through envelope draw method. Three pointsfixation with either of the treatment modality was undertaken. Titanium bone plating or stain less steelwire osteosynthesis was carried out at frontozygomatic suture, infra orbital rim and atzygomaticomaxillary buttress. Results: In this quasi experimental study, three patients failed to followup. There were 31 patients in each group. Infra orbital step defect was observed in one patient of wireosteosynthesis and two patients of bone plating. Mild facial deformity was observed in two patients ofwire osteosynthesis while none in that of bone plating. Conclusion: There is insignificant difference ofproportion 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 stepdefect; facial deformity; malar flattening
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