Abstract :
The fractured fragments of a complex fracture near the suture lines needs to be by open reduction by fixation. Depending on the displacement of fracture segments and anticipating the stability of the reduced fracture, one, two or three point fixation is applied. The choice of points of fixation is inclusive and best left to surgeon and depending on the fracture type.
The aim of this study was to compare and evaluate functional and aesthetic outcome of two point fixation at suture and buttress with three point fixation at FZ, buttress and region in patients with complex fractures.
This study included 30 patients who underwent treatment of complex fractures . Fifteen patients were treated with ORIF using two point fixation and remaining 15 with three point fixation and patients were evaluated and compared , first post op day, 7th day, first month and third month post op for anatomic form, function, aesthetics and complications.
There was no statistically significant difference in stability, function and aesthetics achieved with fixation and aesthetics. Two point fixation modality for displaced complex fractures is as effective as three point fixation. The surgical treatment varies from surgeon to surgeon and also depends on the type of fracture.
Keyword :
Zygomatic complex, Rigid fixation.