Kirschner Wire Fixation for the Treatment of Comminuted Zygomatic Fractures

Kang, Dai-Hun; Jung, Dong-Woo; Kim, Yong-Ha; Kim, Tae-Gon; Lee, JunHo; Chung, Kyu Jin

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자료유형: 학술저널

저자정보: Kang, Dai-Hun (Department of Plastic and Reconstructive Surgery, Yeungnam University College of Medicine) Jung, Dong-Woo (Department of Plastic and Reconstructive Surgery, Yeungnam University College of Medicine) Kim, Yong-Ha (Department of Plastic and Reconstructive Surgery, Yeungnam University College of Medicine) Kim, Tae-Gon (Department of Plastic and Reconstructive Surgery, Yeungnam University College of Medicine) Lee, JunHo (Department of Plastic and Reconstructive Surgery, Yeungnam University College of Medicine) Chung, Kyu Jin (Department of Plastic and Reconstructive Surgery, Yeungnam University College of Medicine)

저널정보: 대한두개안면성형외과학회 Archives of craniofacial surgery : ACFS Archives of craniofacial surgery : ACFS 제16권 제3호

발행연도: 2015.1

수록면: 119 - 124 (6page)

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Background: The Kirschner wire (K-wire) technique allows stable fixation of bone fragments without periosteal dissection, which often lead to bone segment scattering and loss. The authors used the K-wire fixation to simplify the treatment of laborious comminuted zygomatic bone fracture and report outcomes following the operation. Methods: A single-institution retrospective review was performed for all patients with comminuted zygomatic bone fractures between January 2010 and December 2013. In each patient, the zygoma was reduced and fixed with K-wire, which was drilled from the cheek bone and into the contralateral nasal cavity. For severely displaced fractures, the zygomaticofrontal suture was first fixated with a microplate and the K-wire was used to increase the stability of fixation. Each wire was removed approximately 4 weeks after surgery. Surgical outcomes were evaluated for malar eminence, cheek symmetry, K-wire site scar, and complications (based on a 4-point scale from 0 to 3, where 0 point is 'poor' and 3 points is 'excellent'). Results: The review identified 25 patients meeting inclusion criteria (21 men and 4 women). The mean age was 52 years (range, 15-73 years). The mean follow up duration was 6.2 months. The mean operation time was 21 minutes for K-wire alone (n=7) and 52 minutes for K-wire and plate fixation (n=18). Patients who had received K-wire only fixation had severe underlying diseases or accompanying injuries. The mean postoperative evaluation scores were 2.8 for malar contour and 2.7 for K-wire site scars. The mean patient satisfaction was 2.7. There was one case of inflammation due to the K-wire. Conclusion: The use of K-wire technique was associated with high patient satisfaction in our review. K-wire fixation technique is useful in patient who require reduction of zygomatic bone fractures in a short operating time.

#Kirschner wires #Zygomatic fractures #Fixation, comminuted

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