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Orthopaedic Bone Tap: A 'Jugaad' for Zygomatic Bone Reduction.

Neha Jajodia^1,2, Virendra Singh¹, Santosh Agarwal¹

¹1Department of Oral and Maxillofacial Surgery, Postgraduate Institute of Dental Sciences, Rohtak, India.

Journal of Maxillofacial and Oral Surgery

|October 23, 2018

Summary

Indian maxillofacial surgeons can now effectively manage zygomatic complex fractures using a readily available orthopaedic bone tap. This tool serves as an excellent alternative to the Carroll-Girard screw, improving accessibility for fracture reduction.

Keywords:

Bone tap Carroll-Girard screw Zygomatic complex fracture

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Area of Science:

Maxillofacial Surgery
Orthopaedic Surgery
Trauma Management

Background:

The Carroll-Girard screw is a documented instrument for zygomatic complex fracture management, offering good control over bone movement.
This instrument is not routinely available to Indian maxillofacial surgeons, limiting its application.
Zygomatic complex fractures require effective management for optimal patient outcomes.

Purpose of the Study:

To introduce an accessible alternative to the Carroll-Girard screw for zygomatic complex fracture reduction.
To evaluate the efficacy of a commonly available orthopaedic bone tap in managing malar bone displacement.
To provide a practical solution for Indian maxillofacial surgeons facing instrument limitations.

Main Methods:

Utilized a 2.5-mm orthopaedic bone tap, a standard instrument in orthopaedic procedures.
Applied the bone tap for the reduction of the malar bone in cases of zygomatic complex fractures.
Focused on the practical application and ease of use of the orthopaedic bone tap.

Main Results:

The orthopaedic bone tap demonstrated ease of use in managing zygomatic complex fractures.
The instrument provided effective reduction of the malar bone.
Successful application of the bone tap as an alternative to the Carroll-Girard screw was achieved.

Conclusions:

The 2.5-mm orthopaedic bone tap is a viable and effective alternative to the Carroll-Girard screw.
This readily available instrument enhances the management of zygomatic complex fractures for maxillofacial surgeons.
The study highlights a practical solution to overcome instrument accessibility challenges in surgical practice.