Comparison of 1-point fixation with 2-point fixation in treating tripod fractures of the zygoma

A ZMC fracture is also known as a tripod, tetrapod or quadripod fracture, trimalar fracture or malar fracture. They can account for approximately 40% of mid-face fractures. They are the second most common facial bone fracture after nasal bone injuries. For the reduction of ZMC fractures various surgical techniques including one, two and three point fixation have been used, these are based on the severity and the extent of the fracture, Several approaches are used namely lateral eyebrow, sub ciliary, intra oral incisions for fixation of ZMC fractures. At this time it remains unclear which treatment is best. This present study is aimed to compare the efficacy of one point versus two point fixation following repair of zygoma fractures in 10 patients and to compare the treatment outcomes of one point versus two point fixation.