Zygomatic fractures. II. A follow-up study of 137 patients

Scand J Plast Reconstr Surg. 1978;12(1):59-63. doi: 10.3109/02844317809010481.

Abstract

Out of a total of 137 patients with zygomatic fractures, 87 with post-reductively stable fractures were treated solely with Gillies' procedure. Twenty-eight patients with unstable fractures were treated with transosseous wiring. In 22 patients, in whom the fracture was considered undisplaced, no fracture treatment was given. At the follow-up only 2 of the patients treated by Gillies' procedure presented malunited fractures, and these only minor ones,this reductive method thus being satisfactory in 64% of all cases. Malunion was seen in one-third of the patients treated with transosseous wiring, this treatment thus appearing frequently insufficient. Consequently, accomplishment with Kirschner-pin fixation is proposed. Finally, a schedule for treatment of zygomatic fractures is given.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Child
  • Facial Bones / injuries
  • Female
  • Follow-Up Studies
  • Fracture Fixation, Internal
  • Fractures, Ununited
  • Humans
  • Male
  • Middle Aged
  • Wound Healing
  • Zygomatic Fractures / etiology
  • Zygomatic Fractures / surgery*