按照一般常规,下颌骨粉碎性骨折整复固定之前,首先要消除骨折线上残留的松动牙、异物以及游离的碎骨片。我们最近收治一例下颌骨粉碎性骨折患者,将游离的碎骨片以不锈钢丝固定,架接在有缺损的骨断端上。然后再作清创缝合及颌间结扎等常规处理,这样既可避免牺牲碎骨片,又起了修复断端缺损及固定断端的作用。兹将该病例报告如下: In accordance with the general practice, the mandibular comminuted fracture repair before fixing, the first line to eliminate residual loose teeth, foreign body and free fragments. We recently treated a patient with comminuted fracture of the mandible, fixed the free bone fragments with a stainless steel wire, and attached them to the broken ends of the bone. And then for debridement and intermaxillary ligation and other conventional treatment, so as to avoid sacrificing bone fragments, but also played a role in repair of broken ends and fixed ends. The case is reported as follows: