用克氏针内固定法治疗下颌髁状突基部骨折国内未见报告。自1980年以来我们对3例合并下颌髁状突骨折的成年患者,在颌间牵引不能整复骨折错位的情况下,采用了切开复位、克氏针内固定方法,恢复了正常(牙合)关系、开口度,没有颞颌关节后遗症。此法适于骨折端错位明显并伴有关节脱位的病例。手术方法简便,成功的关键在于克氏针不能偏斜和过深。术后X线正、侧位摄片检查克氏针的位置十分重要。 There is no report on the treatment of mandibular condylar fracture with Kirschner wire fixation. Since 1980, we treated 3 adult patients with mandibular condylar fractures with open reduction and Kirschner wire internal fixation to restore the normal ) Relationship, opening degree, there is no temporomandibular joint sequelae. This method is suitable for fracture dislocation obvious dislocation associated with the case. The surgical method is simple, the key to success is that Kirschner wire can not be skewed and too deep. Postoperative X-ray, lateral radiography Kirschner wire position is very important.