<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0864-215X</journal-id>
<journal-title><![CDATA[Revista Cubana de Ortopedia y Traumatología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Ortop Traumatol]]></abbrev-journal-title>
<issn>0864-215X</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0864-215X2022000400012</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Técnica modificada de Boytchev para luxación recidivante de hombro]]></article-title>
<article-title xml:lang="en"><![CDATA[Modified Boytchev technique for recurrent shoulder dislocation]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Haydar Sedan]]></surname>
<given-names><![CDATA[Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vergara-Amador]]></surname>
<given-names><![CDATA[Enrique]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Camacho Castro]]></surname>
<given-names><![CDATA[Felipe]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro médico Bocagrande (oficina 205)  ]]></institution>
<addr-line><![CDATA[ Cartagena]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Nacional de Colombia  ]]></institution>
<addr-line><![CDATA[ Bogotá]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2022</year>
</pub-date>
<volume>36</volume>
<numero>4</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0864-215X2022000400012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0864-215X2022000400012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0864-215X2022000400012&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: La luxación anterior del hombro es una lesión ortopédica con alto riesgo de desarrollar inestabilidad glenohumeral anterior. Su tratamiento es quirúrgico y existen varias técnicas que permiten la reconstrucción.  Objetivo: Mostrar los resultados de la técnica modificada de Boytchev para el tratamiento de la inestabilidad anterior de hombro.  Métodos:  Estudio retrospectivo, tipo serie de casos, con pacientes operados con técnica modificada de Boytchev. Con ella se redirecciona el tendón conjunto del bíceps y se pasa por detrás del músculo subescapular para mejorar el soporte en la cara anterior de la articulación glenohumeral.  Resultados: Se operaron 22 pacientes que tuvieron un seguimiento mínimo de 43 meses. Todos pudieron retornar a sus actividades laborales y deportivas. Ninguno presentó recidiva y la movilidad fue completa. En un caso el material de osteosíntesis se aflojó, pero se solucionó sin complicaciones.  Conclusiones: Se trata de una técnica quirúrgica que permite restituir la tensión de los tejidos blandos anteriores del hombro y corregir de forma satisfactoria su inestabilidad; no expone la cápsula articular ni altera la longitud del tendón conjunto, lo que deriva en menor fibrosis. Es reproducible y segura, con baja tasa de complicaciones y permite el retorno a las actividades físicas sin comprometer la movilidad del hombro.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: Anterior shoulder dislocation is an orthopedic injury with high risk of developing anterior glenohumeral instability. Its treatment is surgical and there are several techniques allowing reconstruction.  Objective: To display the results of the modified Boytchev technique for the treatment of anterior shoulder instability.  Methods: This is a retrospective study, case series type, with patients operated with modified Boytchev's technique. It redirects the conjoined biceps tendon and it is passed behind the subscapularis muscle to improve support on the anterior aspect of the glenohumeral joint.  Results: Twenty two patients who had a minimum follow-up of 43 months were operated on. All were able to return to their work and sports activities. None had recurrence, mobility was complete. In one case, the osteosynthesis material loosened, but it was fixed without complications.  Conclusions: This is a surgical technique that allows restoring the tension of the anterior soft tissues of the shoulder and satisfactorily correcting its instability; it does not expose the joint capsule or alter the length of the joint tendon, which results in less fibrosis. It is repeatable and safe, with a low rate of complications and allows returning to physical activities without compromising shoulder mobility.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[luxación del hombro]]></kwd>
<kwd lng="es"><![CDATA[hombro]]></kwd>
<kwd lng="es"><![CDATA[apófisis coracoides]]></kwd>
<kwd lng="es"><![CDATA[cavidad glenoidea, inestabilidad glenohumeral]]></kwd>
<kwd lng="en"><![CDATA[shoulder dislocation]]></kwd>
<kwd lng="en"><![CDATA[shoulder]]></kwd>
<kwd lng="en"><![CDATA[coracoid process]]></kwd>
<kwd lng="en"><![CDATA[glenoid cavity, glenohumeral instability]]></kwd>
</kwd-group>
</article-meta>
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