【摘要】 目的　评价髁状突骨折解剖复位和游离复位的手术疗效。　方法　对 2 2例低位髁状突骨折行解剖复位 ,对 2 5例高位髁状突骨折行游离复位。术后 1年进行临床和影像学检查 ,对疗效差异作统计学分析。　结果　解剖复位组和游离复位组的临床评价治愈率分别为 91%和 72 % ,差异无显著性意义 ,影像学评价治愈率分别为 91%和 5 6 % ,差异有非常显著性意义 (P <0 .0 1) ;解剖复位组的临床和影像学评价疗效相同 ,游离复位组的临床评价治愈率高于影像学评价 ,但差异无显著性意义。结论　髁状突骨折解剖复位的疗效优于游离复位。髁状突游离复位适用于高位髁状突骨折及陈旧性髁状突骨折更多还原

【Abstract】 Objective To evaluate the curative effect of anatomic reduction and free reduction on condylar fractures. Methods Of all 47 patients with condylar fractures, 22 cases with lower position condylar fractures were treated with anatomic reduction and 25 cases with higher position condylar fractures treated with free reduction. The curative effects of 2 surgical treatments were evaluated by clinical examination and radiography 1 year after operation and the differences were analyzed statistically. Results The anatomic reduction had better curative effect (91%) than free reduction (72%) by clinical evaluation. No statistical difference was found between 2 groups by clinical assessment, but very significant difference was found by radiographic evaluation. In anatomic reduction group, the clinical evaluation showed same result as the radiographic evaluation (91%); but the former had more preferable effect (56%) than the latter in free reduction group with an insignificant difference. Conclusions Anatomic reduction for condylar fracture has more favorable curative effects than free reduction. Free reduction is more suitable for treatment of higher position condylar fractures and old condylar fractures.更多还原