TRANSCUTANEOUS SCREW PIN REDUCTION AND EXTERNAL FIXATION IN TREATMENT OF ZYGOMA FRACTURE.

Hwang, Seung Goog; Kim, Kyung Mok; Kim, Yong Oock

Original Article

Journal of the Korean Society of Plastic and Reconstructive Surgeons 1997;24(3):508-515.
Published online May 1, 1997.

TRANSCUTANEOUS SCREW PIN REDUCTION AND EXTERNAL FIXATION IN TREATMENT OF ZYGOMA FRACTURE.

Seung Goog Hwang, Kyung Mok Kim, Yong Oock Kim

Abstract

Treatment of zygoma fracture with displacement at the multiple ariticulations frequently results in incomplete fracture reduction because of difficulties involved in the application of vector force during the reduction procedure. The vector force in opposite to the vector force of injury may not exert adequately through the skin incisions of open reduction. We treated 46 patients of isolated zygoma fracture with transcutaneous screw pin reduction and external fixation. After insertion of a transcutaneous screw pin through the fractured zygoma segment, the vector force of reduction could be applied easily by tracting screw pin along with the opposite force to the injury vector. The external fixation could easily immobilize the fracture segment for a period from 9 to I4 days. In all patients accept one, we could perform fracture reduction accurately without malunion or any other complication. Aside from the direct application of vector froce in the desired direction, advantages of this method are shorter operation time, no incision scar, and no implantation of internal fixation.