Transcutaneous reduction and external fixation for the treatment of noncomminuted zygoma fractures.
OBJECTIVE
This study evaluated the effectiveness of the treatment of noncomminuted monofragment zygoma fractures with closed reduction using transcutaneous threaded pins and an external fixation device instead of open reduction and internal rigid fixation.


METHODS
In 46 patients, transcutaneous pin was inserted into the center of the fractured zygoma, and the segment was reduced by moving the pin to counteract the initial vector force of injury. After reduction, the fractured segment was immobilized by the external fixation device for 9 to 14 days.


RESULTS
All patients except one showed accurate fracture reduction without malunion or any complications.


CONCLUSIONS
This method has advantages over the conventional closed methods in the management of uncomplicated noncomminuted fractures of the zygoma.
Kim
Y O
YO
Department of Plastic & Reconstructive Surgery, Gil General Hospital, Inchon, Korea.
D000293:Adolescent; D000328:Adult; D000368:Aged; D016267:External Fixators; D005260:Female; D005592:Fracture Fixation / Q000295:instrumentation* / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D016896:Treatment Outcome; D015051:Zygomatic Fractures / Q000628:therapy*