Wire or Hook Traction for Reducing Zygomatic Fracture

Ahn, Hee Chang; Youn, Dong Hyun; Choi, Matthew Seung Suk; Chang, Jung-Woo; Lee, Jang Hyun

Wire or Hook Traction for Reducing Zygomatic Fracture

Recommendations

Search

Type: Academic journal

Author: Ahn, Hee Chang (Department of Plastic and Reconstructive Surgery, Hanyang University Medical Center, Hanyang University College of Medicine) Youn, Dong Hyun (Department of Plastic and Reconstructive Surgery, Hanyang University Medical Center, Hanyang University College of Medicine) Choi, Matthew Seung Suk (Department of Plastic and Reconstructive Surgery, Hanyang University Guri Hospital, Hanyang University College of Medicine)

Journal: 대한두개안면성형외과학회 Archives of craniofacial surgery : ACFS Archives of craniofacial surgery : ACFS 제16권 제3호 SCOPUS

Published: 2015.1

Pages: 131 - 135 (5page)

Usage

Wire or Hook Traction for Reducing Zygomatic Fracture

Abstract· Keywords

Report Errors

Background: Variable methods have been introduced for reduction of the zygomatic fractures. The Dingman elevator is used widely to reduce these fractures but is inappropriate in certain types of fractures which require atypical traction vectors. We introduce and examine an alternate method of reducing zygomatic fractures using wire and hook traction. Methods: A retrospective study was performed for all zygomatic fracture patients admitted between 2008 and 2014. Medially rotated fractures were reduced by using a wire looped through an intermaxillary screw secured on the medial side of the zygoma. Laterally rotated fractures were reduced using a hook introduced through an infrazygomatic skin incision. Results: No accidental bleeding or incomplete reduction was observed in any of the cases. Postoperative imaging demonstrated proper reduction immediately after the operation. Follow-up computed tomography study at 1 month after operation also demonstrated proper reduction and healthy union across the previous site of fracture. Conclusion: The hook and wire method allowed precise application of traction forces across zygomatic fractures. The fractured bone fragment could be pulled in the direction precisely opposite to the vector of impact at the time of trauma. Soft tissue damage due to dissection was minimized. In particular, this method was effective in reducing rotated bone fragments and can be an alternative option to using the zygoma elevator.

#Facial bones #Fracture fixation #Zygoma

No content found

References (0)

Add References

If the reference is being serviced by DBpia, please register through [Add Reference]

Recommendations

It is an article recommended by DBpia according to the article similarity. Check out the related articles!

Related Authors

Ahn, Hee Chang

Affiliation Department of Plastic and Reconstructive Surgery, Hanyang University College of Medicine