Zygomatic fractures. II. A follow-up study of 137 patients.
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.
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D005147:Facial Bones / Q000293:injuries; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal; D005599:Fractures, Ununited; D006801:Humans; D008297:Male; D008875:Middle Aged; D014945:Wound Healing; D015051:Zygomatic Fractures / Q000209:etiology / Q000601:surgery*