Implant malposition and revision surgery in primary orbital fracture reconstructions

The aim of the study was to assess factors leading revision surgery and implant position primary orbital fracture reconstructions. A retrospective cohort included patients who underwent floor and/or medial wall reconstruction for recent trauma. Demographics, type, implant-related variables, postoperative were analyzed. overall rate 6.5% (15 232 surgeries). highest in combined midfacial fractures with rim involvement (14.0%), lower zygomatico-orbital (8.7%), lowest isolated blowout (3.8%). Fracture fixation malposition predicted revision. best positioning achieved patient-specific milled titanium implants (mtPSI) resorbable materials, whereas poorest preformed three-dimensional plates. Combined particular have a high risk surgery. Within limitations present study, mtPSIs should be preferred if possible.