Aim : This retrospective study was done to analyse the management of zygomatic complex fractures necessitating surgical intervention in two of the largest tertiary care hospital of the Indian Armed Forces in a 9 year period in terms of incidence, cause, pattern and treatment.

Materials and methods : Three hundred cases of zygomatic complex fractures treated during this period were analysed.

Results : The main aetiology in zygomatic complex fractures was road traffic accidents (RTA) followed by sport injuries, accidental falls and domestic violence. The average age at the time of injury was 34.36 years with the age range being 7–75 years. The highest incidence of fractures was seen in the third decade of life followed by the second decade, 4th decade, 5th, 6th, 7th and 8th decades.

Conclusion : The protocol of two point fixation was found to be adequate in most cases of zygomatic complex fractures in terms of stability and restoration of contour and function.