As the number of high velocity injuries increases, orbital wall fractures t
hat involve other facial bone fractures, especially those showing multiple
crushed fractures have become increasingly common. However, owing to its co
mplex anatomic structure, our inability to visualize details and relatively
thin orbital wall, corrective restorations and fixations are very difficul
t. Recently several reports have claimed good results using titanium implan
ts to repair orbital fracture. Over a period of 36 months, Titanium mesh sc
reen 1.0 (SYNTHES (R)) were applied to the repair of orbital fracture in va
rious ways, taking 39 examples of orbital wall fracture patients requiring
operating treatment. A titanium mesh screen 1.0 was used either as an onlay
implant after it was shaped to fit the anatomical shape of the fracture po
rtion, or as cover implant to fix bony pieces after repairing a severely cr
ushed fracture on the orbital rim or maxillary wall segments. 1.3-mm micro-
screws were used to fix the titanium mesh screen when needed. The titanium
mesh screen 1.0 was rigid, yet malleable enough to get the desired shape. I
t could be folded and screwed easily, and was also easy for follow-up with
fewer artifacts on the CT findings. Therefore, we could restore and fix muc
h easier and faster even crushed tiny bony pieces without loss and achieve
more accurate three-dimensional anatomical reconstruction of orbital wall f
racture.