title: Paradigm in aetiology and management of zygomatic complex fractures in Pakistan.
abstract: OBJECTIVE
  The purpose of this study was to compare the outcome of wire osteosynthesis with bone plating in the management of zygomatic complex (ZMC) fractures. The rationale was to enable the oral and maxillofacial surgeon to select either of the treatment procedure with confidence.
  
  
  METHODS
  In this quasi experimental study, Sixty five patients of ZMC fractures were randomly allocated in groups of bone plating and wire osteosynthesis. This was done through envelope draw method. Three points fixation with either of the treatment modality was undertaken. Titanium bone plating or stain less steel wire osteosynthesis was carried out at frontozygomatic suture, infra orbital rim and at zygomaticomaxillary buttress.
  
  
  RESULTS
  In this quasi experimental study, three patients failed to follow up. There were 31 patients in each group. Infra orbital step defect was observed in one patient of wire osteosynthesis and two patients of bone plating. Mild facial deformity was observed in two patients of wire osteosynthesis while none in that of bone plating.
  
  
  CONCLUSIONS
  There is insignificant difference of proportion of infra orbital step defect and facial deformity between wire osteosynthesis and bone plating.
authors.forename: Assad
authors.initials: A
authors.lastname: Abbas
authors.forename: Iffat Batool
authors.initials: IB
authors.lastname: Syed
authors.forename: Hasnain
authors.initials: H
authors.lastname: Abbas
authors.forename: Iram
authors.initials: I
authors.lastname: Abbas
mesh_terms: D000328:Adult; D001860:Bone Plates; D001864:Bone Wires; D005260:Female; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D008297:Male; D010154:Pakistan; D016896:Treatment Outcome; D015051:Zygomatic Fractures / Q000209:etiology* / Q000601:surgery*