Abstract
BACKGROUND: Common facial injuries with major functional and cosmetic consequences are zygomatic complex fractures. To maintain facial symmetry and functionality, proper fixation is essential. The effectiveness of two-point stiff internal fixation at the zygomatic buttress and fronto-zygomatic suture is assessed in this study. OBJECTIVE: In the treatment of zygomatic complicated fractures, to evaluate clinical results, complication rates, and patient satisfaction after two-point rigid internal fixation. METHODS: Fifty patients receiving treatment for isolated zygomatic complex fractures between January 2021 and December 2022 participated in a prospective trial. Titanium mini plates and screws were used to perform two-point stiff internal fixation on the patients. Using SPSS software, data on clinical outcomes, radiographic proof of fracture reduction, functional outcomes, aesthetically pleasing results, and complications were logged and examined. RESULTS: The patients' female-to-male ratio of 1:3 and their mean age was 35.4 years. Radiographic evaluation showed satisfactory fracture reduction in 96% of cases. Functional outcomes were excellent in 90% of patients. The complication rate was 8%, with infections 4%, hardware failure 2%, and malunion 2%. No significant scarring or persistent facial asymmetry was observed. CONCLUSION: A safe and dependable technique for treating zygomatic complex fractures, two-point rigid internal fixation at the fronto-zygomatic suture, and zygomatic buttress provides good clinical and cosmetic results with a minimal rate of complications-longer follow-up times and bigger sample sizes in future research.