Why do you think orbital fractures are often difficult to fixate surgically with screws and plates?

Orbital fractures can be challenging to fixate surgically due to the complex anatomy of the orbit, which includes delicate structures like the optic nerve and various sinuses. The limited space and the potential for damaging surrounding tissues make precise placement of screws and plates difficult. Additionally, the need for stable fixation while minimizing complications, such as diplopia or enophthalmos, further complicates the surgical approach. These factors require careful planning and technique to achieve optimal outcomes.