POST OPERATIVE OUTCOMES IN OPEN REDUCTION AND INTERNAL FIXATION OF ZYGOMATIC BONE FRACTURES

TWO POINT VERSUS THREE POINT FIXATION

Abstract

Objective of this study was to highlight the post-operative outcomes in ORIF of zygomatic bone fractures, by comparing two point versus three point fixation techniques, in Al-Qurayyat, Saudi Arabia, population. Fifty patients who visited the Department of Oral and Maxillofacial Surgery of Gurayat General Hospital, Al-Qurayyat, Saudi Arabia, were included in the study. The study was conducted from March 2014 to April 2017. Fifty patients constituted the study and were randomly divided into two groups. Group A had twenty five patients who underwent open reduction and internal fixation (ORIF) at two points. Group B comprised of twenty five patients and ORIF with three point fixation was done for them. Males were more than females in both the groups; 36/50 (72%) in total. Post-operative complications like vertical dystopia and malar height prominence were recorded at 1st week, 3rd week and 6th week of the operation. Age range was from 15-60 years with the mean 32.62 12.826. The statistical analysis showed that patients who underwent ORIF with three point fixation (Group B) suffered with fewer complications like vertical dystopia and altered malar height as compared to Group A. There was a significant difference (p<0.05), as far as the post-operative stability of the fractured zygomatic bone was concerned. Among the two groups; group B showed more promising results. So it was concluded from our study that ORIF using three point fixation technique in the treatment of zygomatic bone fractures is a better option in order to minimize the post-operative complications like altered malar height, vertical dystopia and stability of the bone.