To evaluate the use of wire and screw technique to aid reduction during open treatment of condylar
and subcondylar fractures. Methods: This study consisted of 10 patients divided into two groups, (five for each
group). First group, the reduction was assisted through the use of (6 mm length – 2 mm diameter) screw, 26-
gauge stainless steel wire, and 16-gauge needle. Second group, the reduction was performed using a towel clip
and bone hook without stripping the lateral pterygoid muscle from its condylar insertion. The time of operation
was calculated and clinical evaluation of complications had been done for both groups. Computed Tomography
(CT) was taken to confirm the position of the reduced condylar fractures. Results: All fractures had reduced
into their normal position without developing series of complications in the 6-month follow-up period.
Conclusion: Using wire and screw technique for reduction of subcondylar fractures during the open treatment
gives the surgeon the ability to move the fractured mandible as a bony anchorage through the reduction screw
with minimal or no postoperative complications related to that technique of reduction
