The grapple was one of the first fixation elements used by doctors . It Born like an adaptation of wires to U-shapes, to join two bone ends .
With the use evolved to achieve better fixation mechanisms by locks or closed grapple .
Are used for attaching soft tissues ( tendons , capsules , ligaments ) to bone, or to secure two bone ends .
In several presentations of design and dimensions to meet the different needs of regions to treat each patient .