Journal of Maxillofacial and Oral Surgery

, Volume 17, Issue 4, pp 630–631 | Cite as

Orthopaedic Bone Tap: A ‘Jugaad’ for Zygomatic Bone Reduction

  • Neha JajodiaEmail author
  • Virendra Singh
  • Santosh Agarwal
Technical Note



The use of the Carroll-Girard screw in the management of zygomatic complex fractures has been well documented. The instrument provides an excellent degree of control over the movements of the disrupted zygomatic bone. Often mentioned in textbooks and literature, they are not routinely available for the Indian maxillofacial surgeon. This often prevents the regular use of this approach.

Material and methods

We have used the 2.5-mm orthopaedic bone tap that is very commonly available and routinely used in orthopaedic surgeries for reduction of the malar bone.


The orthopaedic bone tap is easy to use and functions as an excellent alternative to the traditional Carroll-Girard screw.


Carroll-Girard screw Zygomatic complex fracture Bone tap 


  1. 1.
    Kelley P, Hopper R, Gruss J (2007) Evaluation and treatment of zygomatic fractures. Plast Reconstr Surg 120:5S–15SCrossRefGoogle Scholar
  2. 2.
    Cornelius C-P (2012) Zygomaticomaxillary complex (ZMC) fractures, zygo-matic arch fractures. In: Ehrenfeld M, Manson PN, Prein J (eds) Principles of internal fixation of the craniomaxillofacial skeleton: trauma and orthognathic surgery, 2nd edn. George Thieme, Stuttgart, pp 205–222Google Scholar
  3. 3.
    Baek J, Chung C, Hong I (2012) Reduction of zygomatic fractures using the Carroll-Girard T-bar screw. Arch Plast Surg 39:556–560CrossRefGoogle Scholar
  4. 4.
    Ellis E III, Kittidumkerng W (1996) Analysis of treatment for isolated zygomaticomaxillary complex fractures. J Oral Maxillofac Surg 54:386–400CrossRefGoogle Scholar
  5. 5.
    Kreutziger K, Kreutziger K (1992) Zygomatic fractures: reduction with the T-bar screw. South Med J 85(12):1193–1202CrossRefGoogle Scholar
  6. 6.
    Surgeons do Jugaad in the operation theatre—Times of India [Internet]. The Times of India. 2017 [cited 11 December 2017].

Copyright information

© The Association of Oral and Maxillofacial Surgeons of India 2017

Authors and Affiliations

  1. 1.Department of Oral and Maxillofacial SurgeryPostgraduate Institute of Dental SciencesRohtakIndia
  2. 2.KolkataIndia

Personalised recommendations