Presentation of case:

It is a patient of 74 years of age with simple fractures from 3o to 9o arcs rights sacks, 21 days of evolution, with wall deformity of costal by collapse and retained hemothorax, who set the arches sacks 4o, 5o, 6o and 7o with wire through right postero-lateral thoracotomy. The immobilization of the arches costal, costal wall elevation and alignment of fractures, it allowed a rapid recovery and better control of pain.

Conclusions:

Fixation of fractures costal with wire using this technique, it has advantages its simplicity, the use of a material available in any hospital, its low cost and be reproducible without specific training. We believe that your knowledge and dissemination can be useful for the management of fractures multiple sacks with deformity and instability of the rib cage.