Abstract: A device for intramedullary fixation of mandibular condyle fractures is provided. This device includes a proximal screw portion and a distal peg portion. The screw portion includes threads and a taper at the proximal tip. The peg portion contains a taper at the distal end, it may be of circular or ovoid cross-sectional shape to accommodate variations in individual patient anatomy, and may contain peg holes oriented perpendicular to its long axis. Perpendicular grooves are present on the distal end of the device to allow coupling with a surgical screwdriver. The method of application includes reaming of the intramedullary canal, insertion of the device into the proximal condyle fragment, and manipulation of the intramedullary canal of the distal mandible onto the device to achieve stable fracture fixation. This device and method provide the benefits of intramedullary fixation and a total endoscopic surgical approach to the treatment of mandibular condyle fractures.