Comparison of Different Plating Systems in Zygomaticomaxillary Complex Fractures: An Original Research

Abstract

Background: Zygomaticomaxillary complex (ZMC) fractures are common facial injuries requiring surgical intervention to restore function and aesthetics. Various plating systems are used for fixation, but their comparative efficacy remains unclear.
Objective: This study aimed to compare the outcomes of five different plating systems in ZMC fracture management, focusing on complication rates, revision surgery, and patient satisfaction.
Methods: A prospective cohort study was conducted on 100 patients with ZMC fractures treated surgically between 2022-2023. Patients were categorized into five groups based on the plating system used for fixation. Demographic data, intraoperative details, postoperative complications, and patient-reported outcomes were recorded. Statistical analysis was performed to compare outcomes among the plating systems.
Results: Significant differences were observed in operative time, complication rates, and patient satisfaction scores among the plating systems. Traditional titanium miniplates showed the lowest complication rate (10%), while bioresorbable plates had the highest (20%). Locking plate systems demonstrated the shortest operative time and satisfactory patient satisfaction scores. Revision surgery rates varied across plating systems but were generally low.
Conclusion: The selection of a plating system for ZMC fractures should consider factors such as complication rates, operative time, and patient satisfaction. While traditional titanium miniplates remain a reliable option, locking plate systems offer advantages in terms of shorter operative time and patient satisfaction. Bioresorbable plates may be suitable in select cases but require careful patient selection and monitoring for complications. Further research is needed to validate these findings and refine treatment algorithms for ZMC fractures.