This study evaluates a single surgeon’s experience the development of a practice in open treatment of intracapsular condylar fractures over three years at a tertiary maxillofacial trauma center. Enhanced dynamic peer reviewed longitudinal audit in keeping with adoption of elements of new clinical practice was instituted. This aimed to record and analyze clinical and functional outcomes at both surgeon and patient level. A retrospective review of patients treated for AOCMF-classified intracapsular fractures was conducted, utilizing an extended pre-auricular approach and positional screw fixation, with an emphasis on early joint mobilization and physiotherapy. The cohort consisted of 45 patients with 50 fractures, exhibiting a mean postoperative mouth opening of 32 mm, which statistically increased over time. Patient satisfaction was high, and the majority of radiological outcomes were deemed anatomical.In the patient cohort there were no permanent facial nerve injuries. Other postoperative complications were minimal, including one Frey’s syndrome and a 16% re-intervention rate primarily for hardware removal.The findings suggest that open treatment can be provided to achieve satisfactory early function as part of implementing an in-part novel procedure. The paper provides insight into establishing a new technique in both experiential and governance domains, as well as lessons learned. The high levels of patient and surgeon satisfaction confirm increasing levels of evidence supporting open reduction and fixation in these challenging injuries yet the study’s limitations include the absence of a control group and the potential non- generalizability due to the single-surgeon perspective. The study highlights the need to support colleagues providing this treatment and establish a national mentoring program to achieve this. At this point Long-term studies and a multi- center trial would follow to develop are suggested for a comprehensive understanding of the treatment’s efficacy and formal development of management protocols.