Over the last 30 years, fracture management has evolved toward a tendency now in many units to carry out open reduction and internal fixation, rather than the original methods of closed reduction. However, there are also important differences that significantly influence the management of facial fractures. This study discusses the traditional wire osteosynthesis method for management of facio maxillary fractures.Cranio-maxillofacial injuries affect a significant proportion of trauma patients. They can occur in isolation, or in combination with other serious injuries, including cranial, spinal, upper and lower body injuries.The management of cranio-maxillofacial trauma includes treatment of facial bone fractures, dento alveolar trauma, and soft tissue injuries, as well as associated injuries, mainly of the head and neck.The basic difference between rigid and non rigid fixation centers on inter fragmentary mobility. If there is mobility of the osseous fragments during active use ofthe skeletal structure after application of internal fxation devices, internal fixation is non rigid. An example of nonrigid fixation is a trans osseous wire placed across a fracture.