Case Study: Humeral Head & Le Fort I Midface Fracture in Ghana

Case Overview

TFacial trauma cases involving midface fractures, Le Fort I patterns, and occlusal dysfunction are common in high-energy injuries. In West Africa, especially Ghana, the adoption of advanced CMF fixation techniques, ORIF procedures, and titanium maxillofacial plating systems has significantly improved outcomes for trauma patients. The following case highlights the successful reconstruction of a humeral head–related facial impact with a Le Fort I midface fracture, managed at Korle Bu Teaching Hospital using CZMEDITECH 2.0mm maxillofacial plates and self-drilling screws.

Patient Information

Male, aged 33. Inability to put his teeth together, enlogated face/ Le Fort 1 fracture of the Midface after a road traffic acciednt.  

Preoperative Imaging

Preoperative imaging demonstrated significant midface instability, consistent with a Le Fort I fracture causing functional occlusal problems and elongation of the midface. These patterns are commonly associated with severe facial trauma reconstruction cases.

Intraoperative Imaging

Intraoperative views showed precise reduction of the fracture segments, with the surgical team performing anatomical repositioning and rigid internal fixation, ensuring proper alignment of facial buttresses. Maxillofacial plates were contoured to match the patient’s natural facial curvature, improving fixation stability.

Postoperative Imaging

Postoperative imaging confirmed stable bone healing, restored occlusal function, and satisfactory symmetry of the midface, demonstrating the effectiveness of titanium plating systems in facial trauma management.

Postoperative Imaging

Dr. Gabriel expressed great satisfaction with the maxillofacial plates provided by CZMEDITECH. Maxillofacial plates provide stable and easy to adapt and contour to meet patient needs.

The use of 2.0mm titanium plates allowed accurate contouring, strong fixation of midface buttresses, and restoration of functional occlusion. This approach aligns with global standards in cranio-maxillofacial trauma surgery.

Implant Specifications

Utilised in this procedure:

1. 2.0mm 90° L-plate, 4 holes Left 23mm

2. 2.0mm Self-drilling Screw, 2.0*7mm

2.0mm 90° L-plate, 4 holes Left 23mm

Implant Specifications

Clinical Significance

This case illustrates the growing capacity of Ghanaian trauma centers to perform advanced CMF reconstruction, particularly in complex Le Fort I fractures. The combination of rigid fixation, miniplate technology, and self-drilling screws ensures predictable outcomes, reduced complications, and faster recovery of facial symmetry and occlusion.

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