【摘要】 目的　探讨应用侧向拉力螺钉技术治疗髁突囊内矢状骨折的方法与疗效。方法　对11例患者 ( 13侧 )髁突囊内矢状骨折经耳前途径行髁突游离复位 ,用 2颗钛螺钉依照拉力螺钉技术操作规范从外侧固定 ,术后行临床与影像学追踪观察。结果　平均追踪 12个月 ,全部患者疗效满意 ,9例痊愈 ,2例轻微错畸形 ,均无关节症状 ,影像检查 3例有髁突轻微骨质吸收和形态异常。结论　侧向拉力螺钉固定髁突囊内矢状骨折的方法简便可靠 ,疗效确切 ,并发症少更多还原

【Abstract】 Objective To introduce the clinical application and curative effect of lateral lag screw technique in fixing condylar intracapsular sagittal fractures Methods Thirteen condyles with intracapsular sagittal fracture of 11 cases were fixed using lateral lag screw technique Curative effects were observed by clinical and radiological follow-up for 6～30 months (mean 12 months) postoperatively Results The favorable results were obtained in all cases All patients were satisfied with the clinical results slight malocclusion existed in 2 cases Radiological abnormities were seen in 3 cases by CT scanning, but without any obvious function disturbances Conclusions Lateral lag screw technique is a simple and effective treatment in fixing intracapsular sagittal condylar fractures更多还原