Isolated zygomatic arch fractures are mainly treated with a Gillies temporal approach or a supraorbital approach described by Dingman and Natvig. Being a surgical closed reduction treatment, it have encouraged specialists to various forms of intraoperative imaging, nevertheless in developing countries there is not always the infrastructure or technology to do so, leaving the responsibility to the surgeons experience.

Purpose : To explore the subjective assessment of our surgeons in a surgical closed reduction treatment in an isolated zygomatic arch fracture.

Patients and methods : 50 patients with an isolated zygomatic arch fracture. All of them underwent surgery and were performed a surgical closed reduction treatment. 25 of them immediately after the reduction, the surgeon in charge had to answer the next question. Is reduction of the fracture satisfactory? If the answer was yes, an intraoperative X-ray using a C-ARM were obtained and compare it with the assessment of the surgeon. If there was no reduction, the procedure is repeated and the question its again performed, this algorithm is repeated until the reduction is satisfactory.

Results : From the 25 patients studied 84% were reduced in the first attempt, 16% at the second one. These results are comparable with control group.