284 



METALLIC SUTUEE OF BOXES IX THE CASE Oh 



EEACTUEES. 



BY 

 LUIZ SOROMKNIIO, M.D., 



Surgeon to fJic Hospital Miguel Bo}nhar(l(i , Lnii.yeiieo Marques. 



Read Julg i:], 1922. 



Summary. 



For several reasons it is advisable and sometimes necessary 

 to operate on clean and uninfected fractures, and make a sutiu-e 

 of the bones so as to be able to have them in a good position and 

 obtain a good union of the two extremities of the bones. 



As regards the metallic instruments with which this imion 

 may be made, we may employ various kinds of plates and pins. 

 The most commonly used are Lane's plates fixed by screws. 



To-day we are employing also a sort of pin, the Dujarier's 

 agrafes, which are fixed on the bones after making two small 

 holes to hold the extremities of the agrafe. 



There are some difficulties and dangers in the operation on 

 the bones from infection that may sometimes develop, and for this 

 reason it is necessary to operate with the best antiseptic pre- 

 cautions and without touching the bones with the fingers, even 

 if gloved. 



With the Lane's plates, experience shows that infection 

 occurs sometimes, and the plating is much more difficult without 

 touching the plates and the screws. We have been using recently 

 the agrafes and we have found that the operation can be done 

 in an easier wnj, and that there is less likelihood of infection. 

 The fixation of the bone is made absolutely good and steady by 

 putting two agrafes in a square position. 



