Outcomes of One Point versus Two Point Fixation in Zygomatic Bone Fracture: One Point versus Two Point Fixation in Zygomatic Bone Fracture

Maria Jabbar; Uzair Bin Akhtar; Komal Akram; Shoaib Younas; Mustafa Ayub Khawaja; Muhammad Khalil

doi:10.54393/pjhs.v7i1 SE01.3635

Authors

Maria Jabbar Department of Oral and Maxillofacial Surgery, Sharif Medical and Dental Hospital, Lahore, Pakistan
Uzair Bin Akhtar Department of Oral and Maxillofacial Surgery, Sharif Medical and Dental Hospital, Lahore, Pakistan
Komal Akram Department of Oral and Maxillofacial Surgery, Sharif Medical and Dental Hospital, Lahore, Pakistan
Shoaib Younas Department of Oral and Maxillofacial Surgery, Combined Military Hospital, Lahore, Pakistan
Mustafa Ayub Khawaja Department of Oral and Maxillofacial Surgery, Sharif Medical and Dental Hospital, Lahore, Pakistan
Muhammad Khalil Department of Oral and Maxillofacial Surgery, Sharif Medical and Dental Hospital, Lahore, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v7i1%20SE01.3635

Keywords:

Zygomatic Bone Fracture, Malar Height, One-Point Fixation, Two-Point Fixation

Abstract

Fractures of the zygomatic bones are quite common injuries. There are several different surgical methods for fixing zygomatic bone fractures, and there is no universally accepted one. Objective: To compare the outcomes of one-point and two-point fixation in zygomatic bone fractures. methods: This prospective comparative study was carried out on 60 patients admitted to the Department of Oral and Maxillofacial Surgery at Sharif Medical and Dental Hospital, Lahore, from September 2023 to August 2024. The patients were divided into two groups (A/B). Thirty consecutive patients in group A received one-point fixation, and thirty consecutive patients in group B received two-point fixation for their zygomatic fracture repair. The outcomes of procedures were evaluated by assessment of the bone diastasis at the inferior orbital margin and frontozygomatic suture on postoperative CT scan, and evaluation of malar height clinically. Results: There was a non-significant association between bone reduction in the Frontozygomatic suture and method of fixation (p=0.237). The association between bone reduction in the infraorbital margin and method of fixation was significant (p=0.005). For malar height, a statistically non-significant difference in the post-operative malar height among the groups that had undergone one and two-point fixation (p=0.067). Conclusion: The majority of individuals who had two-point fixation exhibited appropriate reduction at the infra-orbital margin and frontozygomatic suture. Those who had one-point fixation treatment exhibited higher post-operative malar height.

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