Evaluation of Custom-Made Plates in the Treatment of Zygomaticomaxillary Complex (ZMC) Fractures.

Evaluation of Custom-Made Plates in the Treatment of Zygomaticomaxillary Complex (ZMC) Fractures

This prospective, single-arm clinical trial evaluated the clinical and radiographic outcomes of custom-made, 3D-printed titanium plates in the surgical treatment of unilateral zygomaticomaxillary complex (ZMC) fractures. The study assessed the accuracy of anatomical reduction, postoperative functional and esthetic outcomes, surgical efficiency, patient satisfaction, and postoperative complications.

Patients with unilateral ZMC fractures requiring open reduction and internal fixation underwent virtual surgical planning based on preoperative CT imaging. Custom-made 3D-printed titanium plates were designed according to the patient's anatomy and used for fracture fixation. Clinical and radiographic outcomes were assessed postoperatively at 1 week, 1 month, and 3 months.

Inclusion Criteria:

• Age 18-50 years. Unilateral ZMC fractures indicated for open reduction and internal fixation (ORIF).

Medically fit for general anesthesia. Trauma occurring within 10 days. Commitment to 3 months of follow-up.

Exclusion Criteria:

• Exclusion Criteria Bilateral or panfacial fractures. Pathological fractures or previous ZMC surgery. Systemic disease affecting bone healing. Patients refusing consent. Sex: All