Refracture at the same area after zygomaticomaxillary complex fracture surgery: a case report

Abstract

Following surgery in the maxillofacial region, refractures in the same area are rare, and related studies are insufficient. This study aimed to report fracture patterns of patients with refractures at the surgical site using small metal plates and fixing screws for zygomaticomaxillary complex fractures. Two male patients visited the emergency room on different days, and both of them were diagnosed with zygomaticomaxillary complex fractures. Open reduction and internal fixation was performed. They revisited the emergency room, respectively, with facial injuries in the same area. Together with fracture fragment displacement, metal plate deformation was observed. However, comminuted fractures were not observed at the fixing screw area. The refracture site was operated. When a low-energy impact is applied to the surgical site of the zygomaticomaxillary fracture without metal plate removal, a comminuted fracture does not occur, and a simple fracture pattern occurs accompanied by metal plate deformation.