|
KMID : 0358819890160050867
|
|
Journal of Korean Society of Plastic and Reconstructive Surgeons
1989 Volume.16 No. 5 p.867 ~ p.877
|
|
|
A NEW EXTERNAL TRACTION TECHNIQUE FOR ZYGOMATIC FRACTURES
|
|
Jun Dae-Woo
Han Ki-Hwan
Kang Jin-Sung
|
|
|
Abstract
|
|
|
In the modern era of increasing motorization and industrialization, traffic and industrial accidents are becoming more frequent and serious, which in turn have brought about an increase in facial bone fractures and the pattern of fractures have become more compound and comminuted. The malar eminence is so prominent in oriental people that the zygomatic bone is more frequently fractured than other facial bones. Even a markedly depressed zygomatic fracture can be well reduced with three point interosseous wire fixations including a zygomaticomaxillary buttress, a late depression of the malar eminence occurs frequently due to the pull of the masseter muscle.
In order to antagonize the pull of the masseter muscle the authors have devised a new method of external traction using an Ⅳ pole and weights which were all available on the wards. Fifty-seven patients who were admitted at Keimyung University Dong-San Medical Center from November 1987 to August 1988, were treated with 3 point interossous wire fixations and myotomy of the insertion of the masseter muscle. Of the 57, 32 were then managed with the authors’ external traction method and the remaining 25 were managed with external traction using Georgiade’s halo apparatus.
The following results are obtained by comparing our method to Georgiade’s :
1. Although the authors’ external traction method tends to produce a slight overcorrection(P〉0.05), the results should be improved with experience.
2. Advantages of the authors method are as follows:
1) There is no cost because all needed equipments are obtainable on the wards.
2) The traction apparatus can be easily assembled.
3) It does not annoy the patients and does not necessitate scalp wounds.
4) It is useful for treatment of the patients who have concomitant cranial or cervical bone fractures.
3. Disadvantages are:
1) The authors method is contraindicated in the patient who is not cooperative because the direction of traction can be varied.
2) There is a brief limitation of sustained traction whenever the patient is moved.
In summary, the authors external traction method using an IV pole and weights can be used alone and/or as aid to Georgiade’s halo apparatus in the post-operative management of depressed zygomatic fractures.
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
  
|