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Natl J Maxillofac Surg. 2013 Jul;4(2):181-7. doi: 10.4103/0975-5950.127648.

Zygomatic complex fracture: A comparative evaluation of stability using titanium and bio-resorbable plates as one point fixation.

Author information

1
Department of Dentistry, Hind Institute of Medical Sciences, Barabanki, Lucknow, Uttar Pradesh, India.
2
Department of Oral and Maxillofacial Surgery, Santosh Dental College, Ghaziabad, Uttar Pradesh, India.
3
Department of Plastic Surgery, King Georges Medical University, Lucknow, Uttar Pradesh, India.
4
Department of Anesthesiology, King Georges Medical University, Lucknow, Uttar Pradesh, India.

Abstract

BACKGROUND:

The malar bone represents a strong bone on fragile support and its processes - frontal, orbital, maxillary and zygomatic are frequently the site of fracture. Current study was done to compare the stability of zygomatic complex fracture using Biodegradable plates and titanium miniplates with one point fixation.

MATERIALS AND METHODS:

Twenty patients of zygomatic complex fracture were randomly selected and divided in two groups which were further divided into two subgroups (A, B). Group I patients were treated with titanium miniplate at zygomatic buttress and Group II was treated by bio-resorbable plates. One point fixation was done either at zygomatic buttress or at frontozygomatic suture and it was observed that both the site have been the most favored site of rigid internal fixation in terms of stability, aesthetics and prevention of rotation of the fracture segment in either vertical or horizontal axis.

CONCLUSION:

There is no significant difference in post operative outcomes between two groups, but still bioresorbable system has some advantage over titanium system as these plates resorbs over a period of time and does not cause any interference with growth and post operative radiotherapy. However application of biodegradable system demands highly précised technique.

KEYWORDS:

Bioresorbabale plates; titanium plates; zygomatic complex fracture

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