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Wire of Hook Traction for Reducing Zygomatic Fracture

Title
Wire of Hook Traction for Reducing Zygomatic Fracture
Author
안희창
Keywords
Facial bones; Fracture fixation; Zygoma
Issue Date
2015-12
Publisher
대한두개안면성형외과학회
Citation
Archives of Craniofacial Surgery, v. 16, NO 3, Page. 131-135
Abstract
Background Variable methods have been introduced for reduction of the zygomatic fractures. The Dingman elevator is used widely to reduce these fractures but is inappropriate in certain types of fractures which require atypical traction vectors. We introduce and examine an alternate method of reducing zygomatic fractures using wire and hook traction. Methods A retrospective study was performed for all zygomatic fracture patients admitted between 2008 and 2014. Medially rotated fractures were reduced by using a wire looped through an intermaxillary screw secured on the medial side of the zygoma. Laterally rotated fractures were reduced using a hook introduced through an infrazygomatic skin incision. Results No accidental bleeding or incomplete reduction was observed in any of the cases. Postoperative imaging demonstrated proper reduction immediately after the operation. Follow-up computed tomography study at 1 month after operation also demonstrated proper reduction and healthy union across the previous site of fracture. Conclusion The hook and wire method allowed precise application of traction forces across zygomatic fractures. The fractured bone fragment could be pulled in the direction precisely opposite to the vector of impact at the time of trauma. Soft tissue damage due to dissection was minimized. In particular, this method was effective in reducing rotated bone fragments and can be an alternative option to using the zygoma elevator.
URI
https://synapse.koreamed.org/DOIx.php?id=10.7181/acfs.2015.16.3.131http://hdl.handle.net/20.500.11754/30102
ISSN
2287-1152; 2287-5603
DOI
10.7181/acfs.2015.16.3.131
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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