The Importance of the Zygomatic Arch in Complex Midfacial Fracture Repair and Correction of Post-Traumatic Orbitozygomatic Deformities

SummaryThe frequency of post-traumatic osteoarthritis (PTO) in the dog after repair of a humeral condylar fracture (HCF) and the relationship of fracture reduction to outcome is unknown. The objectives of this study were to determine the frequency of PTO in dogs after HCF repair and to determine the relationship between fracture reduction, limb function and follow-up osteoarthrosis (OA) score. All dogs were evaluated by physical and radiographic examinations and dogs with unilateral fracture repair were also examined by force platform gait analysis. Initial and follow-up radiographs were scored for reduction and evidence of osteoarthrosis using previously published grading scales. This study evaluated 15 fractures in 13 dogs with a mean follow-up time of 43 months. Osteoarthrosis developed or progressed radiographically in all elbows. Peak vertical force (PVF) was significantly reduced (p <0.01) in the affected limb, however vertical impulse (VI) did not differ (p = 0.12) when compared to the opposite normal limb. Pain-free range of motion was reduced in flexion (p <0.01), but not in extension (p = 0.98) when compared to the normal limb. Fracture reduction score did not correlate with follow-up OA score (p = 0.07), PVF (p = 0.40), VI (p = 0.72), flexion (p =0.50), or extension (p = 0.62). Due to the high incidence of PTO, owners should be warned of the possibility of declining limb function over time despite near anatomic reduction.

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Midfacial Fracture Repair in the Adult Rat

Annals of Plastic Surgery ◽

10.1097/00000637-199331010-00014 ◽

1993 ◽

Vol 31 (1) ◽

pp. 66-71 ◽

Cited By ~ 1

Author(s):

Seth R. Thaller ◽

James Hoyt ◽

Henry Tesluk ◽

Thomas R. Stevenson

Keyword(s):

Fracture Repair ◽

Adult Rat ◽

Midfacial Fracture

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Combined caesarean section and open reduction internal fixation for the treatment of an acetabular fracture in late pregnancy

JRSM Open ◽

10.1177/2054270417732698 ◽

2018 ◽

Vol 9 (2) ◽

pp. 205427041773269 ◽

Cited By ~ 1

Author(s):

Aimee Marie Charnell ◽

Emma Ferriman ◽

Rozalia Dimitriou ◽

Michalis Panteli ◽

Peter V Giannoudis

Keyword(s):

Caesarean Section ◽

Internal Fixation ◽

Acetabular Fracture ◽

Treatment Options ◽

Late Pregnancy ◽

Open Reduction Internal Fixation ◽

Fracture Repair ◽

Early Ambulation ◽

Post Traumatic ◽

Traumatic Arthritis

Lesson In this case, we opted for dual surgery combining caesarean section and internal fixation of acetabular fracture in late pregnancy, which allowed safe foetal delivery, fracture repair and early ambulation of the mother. In similar cases, this method could be potentially considered in the armamentarium of treatment options, aiming to facilitating prompt motherhood input and early hospital discharge, as well as minimising the risk of post-traumatic arthritis of the hip.

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Endoscopic-Assisted Zygomatic Arch Fracture Repair With a Preauricular Approach

Plastic Surgery ◽

10.1177/2292550318800327 ◽

2018 ◽

Vol 27 (2) ◽

pp. 107-111 ◽

Cited By ~ 1

Author(s):

Osman Akdag ◽

Seyda Guray Evin ◽

Cemil Isik ◽

Zekeriya Tosun

Keyword(s):

Complication Rate ◽

Fracture Repair ◽

Zygomatic Arch ◽

Surgical Incision ◽

Endoscopic Techniques ◽

Facial Contour ◽

Maxillofacial Fractures ◽

Average Operative Time ◽

Preauricular Approach

Introduction: Because of numerous negative sequelae with open techniques, endoscopic techniques are beginning to be widely used for maxillofacial fractures. Many endoscopic approaches for this area have been described according to several dissection plans and incisions. The aim of the present study was to report a new surgical incision and dissection method for zygomatic arch fracture that aims at reducing the complication rate of previously defined techniques. Material and Methods: The authors operated on 8 patients with a new endoscopic-assisted surgical technique. This study focused on evaluating the complication rate and surgical comfort of these patients. Results: Of the 8 patients, the plate was palpable in the zygomatic arch in one. No complications occurred due to this technique during the 1-year follow-up. Symmetrical facial contour and inconspicuous scars were obtained in all patients. Average operative time was 3 hours; hospitalization time was 1.6 days. Conclusion: This study demonstrates that an endoscopic-assisted surgical approach with a preauricular mini-incision can be safely performed in isolated multifragment zygomatic arch fractures. Using individually designed plates improved our results. This technique is easy to apply, its cosmetic results are good, and its complication rate is low.

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Post-traumatic Coronoid Process Impingement on Zygomatic Arch

Journal of Computer Assisted Tomography ◽

10.1097/00004728-198807000-00050 ◽

1988 ◽

Vol 12 (4) ◽

pp. 712 ◽

Cited By ~ 6

Author(s):

Lars H. Henriksen ◽

Sigurd Trebo

Keyword(s):

Zygomatic Arch ◽

Coronoid Process ◽

Post Traumatic

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Modification of surgical technique in isolated zygomatic arch fracture repair: seven case studies

International Journal of Oral and Maxillofacial Surgery ◽

10.1016/j.ijom.2009.05.004 ◽

2009 ◽

Vol 38 (10) ◽

pp. 1096-1100 ◽

Cited By ~ 15

Author(s):

L. Xie ◽

Y. Shao ◽

Y. Hu ◽

H. Li ◽

L. Gao ◽

...

Keyword(s):

Surgical Technique ◽

Case Studies ◽

Fracture Repair ◽

Zygomatic Arch

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Midfacial Fracture Repair in the Adult Rat

Annals of Plastic Surgery ◽

10.1097/00000637-199307000-00014 ◽

1993 ◽

Vol 31 (1) ◽

pp. 66-71 ◽

Cited By ~ 1

Author(s):

Seth R. Thaller ◽

James Hoyt ◽

Henry Tesluk ◽

Thomas R. Stevenson

Keyword(s):

Fracture Repair ◽

Adult Rat ◽

Midfacial Fracture

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Management of Zygomatic Arch Fractures by Intraoral Open Reduction and Transbuccal Fixation: A Technical Note

Craniomaxillofacial Trauma & Reconstruction ◽

10.1177/1943387520911866 ◽

2020 ◽

Vol 13 (2) ◽

pp. 130-132

Author(s):

Elavenil Panneerselvam ◽

Sasikala Balasubramanian ◽

Jaghandeep Kempraj ◽

Vijitha Ravindira Babu ◽

V. B. Krishna Kumar Raja

Keyword(s):

Facial Nerve ◽

Internal Fixation ◽

Open Reduction ◽

Simple Technique ◽

Technical Note ◽

Zygomatic Arch ◽

Arch Form ◽

Clinical Presentations ◽

The Face ◽

Post Traumatic

Fractures of the zygomatic arch are common due to its anatomical prominence. The post-traumatic restoration of the arch form is important to maintain the midfacial symmetry and anteroposterior projection of the face. Open reduction and internal fixation (ORIF) of fractured arch is indicated in specific clinical presentations. The traditional methods of ORIF of zygomatic arch fractures require cutaneous incisions, which are associated with complications such as scarring and facial nerve injury. This article presents a simple technique of “intraoral reduction and transbuccal fixation” of the arch that negates the problems associated with the conventional approaches to ORIF.

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