Simple Fixation Technique Using Double Kirschner's Wires for the Uncomminuted Zygoma Fracture

Ryu, Hui Joong; Lee, Won Jai; Lew, Dae Hyun; Park, Beyoung Yun

Abstract

Zygoma fracture is very common in facial trauma because zygoma composes a prominent part of the midface. For the zygoma fracture, its precise reduction and fixation is very important to prevent residual facial asymmetry. There are various modalities of treatment of fractured zygoma and now open reduction with multiple rigid fixation technique is widely accepted. The method of internal fixation enables accurate reduction and stable fixation. However, closed reduction can be used in simple and uncomminuted cases. Although the closed reduction has some advantages of simplicity, it has lost popularity because of the inadequate mechanical fixation and poor visualization. We designed an improved technique of the closed reduction and fixation using double Kirschner's wires. 19 patients were treated with this technique and all cases showed successful results without any complications. The potential advantages of this technique include simple procedure, short operation time, less incisional scar and soft tissue violation and fairly low price without use of foreign materials like miniplates. We conclude that double Kirschner's wire suspension technique is a simple and effective method in the treatment of uncomminuted zygoma fracture.