Intraoperative CT evaluation of repositioning accuracy in zygomaticomaxillary complex fractures: 1-point versus multiple-point fixation

This study shows that multiple-point fixation achieves superior accuracy in restoring zygomatic geometry, especially malar projection and transverse symmetry, while both techniques adequately restore intraorbital volume. Single-point fixation remains a viable, less invasive option for non-comminuted ZMC fractures when guided by intraoperative 3D imaging. The lack of revision surgeries in either group supports a tailored, fracture-specific strategy that balances precision with minimal invasiveness, consistent with trends toward individualized, resource-efficient trauma care.