Is Transfacial Kirschner Wire Fixation Still Indicated in Isolated ZMC Fractures?
Raoul G · Dujoncquoy JP · Nicola J · Tison C · Wojcik T · Ferri J
J Craniofac Surg · vol. 20 no. 4 · 2009
Scientific publication — summary for colleagues and informed patients. Based on the PubMed abstract (full article via publisher).
What is this publication about?
Isolated zygomaticomaxillary complex fractures are common in facial trauma. This retrospective study from Lille University Hospital reviews 216 consecutive cases (2000–2006) in a region of 4 million inhabitants.
For colleagues: management
All operated patients underwent percutaneous hook reduction; 77.3% required fixation, including 94.6% with transfacial interosseous Kirschner wire, supplemented by frontozygomatic or infraorbital plate osteosynthesis when needed.
The authors, including Dr Dujoncquoy, propose a clinical decision guideline emphasising examination and K-wire fixation.
In plain language
For a broken cheekbone, surgeons can reposition the bone with a hook and hold it with a thin wire — a technique still widely used in this series of 216 patients.
Keywords
Zygomatic fracture · facial trauma · Kirschner wire · maxillofacial surgery
Reference : Raoul G, Dujoncquoy JP, Nicola J, Tison C, Wojcik T, Ferri J. Is transfacial Kirschner wire fixation still indicated in isolated zygomaticomaxillary complex fractures? J Craniofac Surg. 2009;20(4):1231-9. doi:10.1097/SCS.0b013e3181acde63.