One Point Fixation Versus Two Point Fixation in Zygomaticomaxillary Complex Fractures


 Muhammad Husnain Akram                  BDS, MFDRCSI 

 Muhammad Mustafa Ch                         BDS, MDS

 Armaghan Israr Mirza                            BDS, FCPS, FFDRCS

 Muhammad Usman Akhtar                    BDS, MCPS, MDS, BSc

Ammar Saeed                                          BDS, FCPS

OBJECTIVE: To compare the mean satisfaction of patients undergoing one point fixation versus two point fixation for
zygomaticomaxillary complex fractures.
METHODOLOGY: This randomized controlled trial was performed at Oral and Maxillofacial surgey department Punjab
Dental Hospital. The duration of this study was 6 months (28-8-18 to 28-2-19). After meeting the inclusion criteria 74 patients
were enrolled. Informed consent and demographic information was taken. Patients were randomly divided into two groups.
One group is treated with one point fixation method and other with two point fixation. Patient were evaluated in terms of
satisfaction of score on 3rd day, 14th day and 28th day and were recorded as per operational definitions. All the collected data
was entered and analyzed on SPSS version 20.
RESULTS: In this study the mean age of patients in one point group was 42.46±15.325 years while in two points group was
49.32±13.145 years, male to female ratio of the patients was 1.2:1. The mean PSS in one point group was 5.98±0.89 while in
two points group was 3.775±0.609 (p-value=<0.001).
CONCLUSION: One point fixation is smarter method and provide significantly better satisfaction than to two point fixation
method for ZMC fractures
KEYWORDS: Zygomaticomaxillary Complex Fractures, One Point, Two Point, Satisfaction
HOW TO CITE: Akram MH, Ch MM, Mirza AI, Akhtar MU, Saeed A. One point fixation versus two point fixation in
zygomaticomaxillary complex fractures. J Pak Dent Assoc 2021;30(2):74-80.
Received: 16 September 2020, Accepted: 25 December 2020

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