Mishra Bibhu Prasad, Harish Abhishek, Mathew Alpha Mary, Pradhan Asutosh, Sneha Susmit, Murty VijayaLaxmi, Makkad Ramanpal Singh
Department of Oral and Maxillofacial Surgery, Hi-tech Dental College and Hospital, Bhubaneshwar, Odisha, India.
Department of Oral and Maxillofacial Surgery, Government Medical College, Ambikapur, Chhattisgarh, India.
Bioinformation. 2023 Dec 31;19(13):1371-1376. doi: 10.6026/973206300191371. eCollection 2023.
Management of zygomatic complex fractures using closed reduction, two point open reduction with internal fixation (ORIF), closed reduction with three point ORIF and two point ORIF is of interest to dentist. 150 patients with zygomatic bone fractures between the ages of 14-60 years were included in the study. At final assessment, the percentage of stable condition was greater in closed reduction + two point ORIF and closed reduction + three point ORIF when compared to two point ORIF alone and three point ORIF alone and closed reduction alone. It was observed that stable condition was lowest in closed reduction alone. It was also observed that stable condition was lower in closed reduction + two point ORIF as compared to closed reduction + three point ORIF. It was also further noticed that stable condition was lower in two point ORIF alone as compared to three point ORIF alone. The treatment approach involving closed reduction and three point ORIF had better outcomes for management of zygomatic complex fractures.
牙医对使用闭合复位、两点切开复位内固定（ORIF）、三点ORIF闭合复位以及两点ORIF治疗颧骨复合体骨折很感兴趣。该研究纳入了150例年龄在14至60岁之间的颧骨骨折患者。在最终评估时，与单纯两点ORIF、单纯三点ORIF以及单纯闭合复位相比，闭合复位 + 两点ORIF和闭合复位 + 三点ORIF的稳定状态百分比更高。观察到单纯闭合复位时稳定状态最低。还观察到与闭合复位 + 三点ORIF相比，闭合复位 + 两点ORIF的稳定状态更低。进一步注意到，与单纯三点ORIF相比，单纯两点ORIF的稳定状态更低。采用闭合复位和三点ORIF的治疗方法在颧骨复合体骨折的治疗中具有更好的效果。
