O'Sullivan S T, Panchal J, O'Donoghue J M, Beausang E S, O'Shaughnessy M, O'Connor T P
Department of Plastic and Reconstructive Surgery, Cork University Hospital, Ireland.
Injury. 1998 Jul;29(6):413-5. doi: 10.1016/s0020-1383(98)00063-1.
With the introduction of low-profile mini-plating systems, a trend has developed towards open reduction and rigid internal fixation (ORIF) of fractures of the cranio-facial skeleton. The current policy for management of zygomatic fractures in our unit is to attempt primary reduction by traditional methods, and proceed to ORIF in the event of unsatisfactory fracture stability or alignment. Over a one-year period, 109 patients underwent surgical correction of fractures of the zygomatic complex. Standard Gilles' elevation was performed in 71 cases, percutaneous elevation in three cases, and ORIF was performed in 35 cases. Mean follow-up was 190 days. One case of persistent infraorbital step and three cases of residual malar flattening were documented in patients who underwent Gilles or percutaneous elevation. Morbidity associated with ORIF was minimal. We conclude that while ORIF of zygomatic fractures may offer better results than traditional methods in the management of complex fractures, traditional methods still have a role to play in less complex fractures.
随着薄型微型钢板系统的引入，颅面骨骼骨折的切开复位内固定术（ORIF）已成为一种发展趋势。我们科室目前处理颧骨骨折的策略是，先用传统方法尝试一期复位，若骨折稳定性或对线情况不理想，则进行切开复位内固定术。在一年的时间里，109例患者接受了颧骨复合体骨折的手术矫正。71例行标准吉列斯抬高术，3例行经皮抬高术，35例行切开复位内固定术。平均随访190天。接受吉列斯或经皮抬高术的患者中，有1例出现持续性眶下台阶，3例出现残留颧骨扁平。切开复位内固定术相关的发病率极低。我们得出结论，虽然在处理复杂骨折时，颧骨骨折的切开复位内固定术可能比传统方法效果更好，但传统方法在处理不太复杂的骨折时仍有作用。
