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本文报告成人髁状突骨折移位手术治疗的３９例（４１侧）术式是依Ｘ线诊断，临床表现、骨折部位、移位程度及致伤时间所定，即传统直接复位１１例，不游离髁突的升支切开解剖复位１６例（１８侧），游离髁突的升支切开复位固定关节重建术８例，游离髁突和升支骨段倒置关节术２例，乙状切迹下升支倒Ｌ型前徙术２例，下颌升支矢状劈开１例，无１例髁状突摘除。本文讨论了手术指征、术式选择和手术程序。对手术术式进行改进，对１６例髁突中、低位伴前内移位病人施行不游离髁突的升支切开解剖复位术取得满意效果。这一术式因不剥离髁状突而保证翼外肌对其血供，更符合颞下颌关节正常生理解剖结构，是目前成人移位髁突骨折进行解剖复位比较有效方法。
This report reports 39 cases of surgical treatment of adult condylar fractures (41 sides) according to X-ray diagnosis, clinical manifestations, fracture site, degree of displacement and injury time, that is, the traditional direct reduction in 11 cases, not free Sixteen patients (18 sides) underwent anatomical reduction of mandibular condyles, eight cases underwent open reduction and fixed joint reconstruction of free condyle, two cases of free condyle and lumbosacral prosthesis Two cases of ascending L-shaped anterior migratory lysis, one case of sagittal split of mandibular ascending branch without condylar excision. This article discusses surgical indications, surgical options, and surgical procedures. To improve the surgical procedure, satisfactory results were achieved in 16 cases of mandibular condyles with condyles with low and condylar anterior displacement patients undergoing mandibular dissection without free condyle. This procedure for the stripping of the condyle to ensure non-pterygoid blood supply, more in line with the normal physiological anatomy of the temporomandibular joint, is the current anatomical reduction of the displaced condylar fractures more effective way.