Transcutaneous reduction and external fixation for the treatment of noncomminuted zygoma fractures

Purpose: This study evaluated the effectiveness of the treatment of noncomminuted monofragment zygoma fractures with closed reduction using transcutaneous threaded pins and an external fixation device instead of open reduction and internal rigid fixation. Patients and Methods: In 46 patients, transcutaneous pin was inserted into the center of the fractured zygoma, and the segment was reduced by moving the pin to counteract the initial vector farce of injury. After reduction, the fractured segment was immobilized by the external fixation device for 3 to 14 days. Results: All patients except one showed accurate fracture reduction without malunion or any complications. Conclusion: This method has advantages over the conventional closed methods in the management of uncomplicated noncomminuted fractures of the zygoma.