<?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>1025-0255</journal-id>
<journal-title><![CDATA[Revista Archivo Médico de Camagüey]]></journal-title>
<abbrev-journal-title><![CDATA[AMC]]></abbrev-journal-title>
<issn>1025-0255</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Camagüey]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1025-02552020000400010</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Fijación externa en la fractura de meseta tibial tipo VI de Schatzker]]></article-title>
<article-title xml:lang="en"><![CDATA[External fixation in Schatzker J´s type VI tibial plateau fracture]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Álvarez López]]></surname>
<given-names><![CDATA[Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fuentes-Véjar]]></surname>
<given-names><![CDATA[Rodrigo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Soto-Carrasco]]></surname>
<given-names><![CDATA[Sergio Ricardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Lorenzo]]></surname>
<given-names><![CDATA[Yenima de la Caridad]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Camagüey Hospital Universitario Manuel Ascunce Domenech Servicio de Ortopedia y Traumatología]]></institution>
<addr-line><![CDATA[Camagüey ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Católica de la Santísima Concepción Facultad de Medicina Servicio de Cirugía General]]></institution>
<addr-line><![CDATA[Concepción ]]></addr-line>
<country>Chile</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de Ciencias Médicas de Camagüey Policlínico Universitario Tula Aguilera Departamento de Medicina General Integral]]></institution>
<addr-line><![CDATA[Camagüey ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2020</year>
</pub-date>
<volume>24</volume>
<numero>4</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1025-02552020000400010&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1025-02552020000400010&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1025-02552020000400010&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Fundamento: las fracturas de la meseta tibial son lesiones traumáticas frecuentes por lo general son provocadas por mecanismos de compresión vertical en varo o valgo, de allí la incidencia de fracturas abiertas con pérdida de piel no son frecuentes, ya que estas responden por lo general a mecanismos directos.  Objetivo: presentar el caso de una paciente con fractura abierta de la meseta tibial tipo VI de Schatzker J.  Presentación del caso: paciente de 61 años de edad, mestiza, femenina sin antecedentes mórbidos de salud, la cual sufre accidente del tránsito al proyectarse contra un camión y es traída al servicio de urgencias de Ortopedia y Traumatología por presentar dolor e inflamación a nivel de la rodilla y pierna izquierda, que le impide la marcha y los movimientos, además de presentar herida avulsiva de base distal que se comunicaba con el foco de fractura. El examen radiográfico simple de la rodilla izquierda en proyecciones anteroposterior y lateral mostró solución de continuidad del tejido óseo a nivel de la zona metafiso-epifisaria de la tibia proximal izquierda. El tratamiento definitivo de la paciente consistió en la colocación de tornillo canulado y fijación externa tipo Hoffman 1® mediante dos anclajes en el fémur y tibia.  Conclusiones: las fracturas de la meseta tibial tipo VI de Schatzker J, son lesiones traumáticas de difícil tratamiento debido a su asociación a complicaciones como: comunicación con el exterior y pérdida de piel. La fijación externa es un método de osteosíntesis útil y de fácil aplicación, que permite el tratamiento de estas lesiones complicadas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Background: tibial plateau fractures are common traumatic lesions due to vertical compression in varus and valgus. That is why open fractures associated to skin loss are not so frequent, because they are caused by direct mechanisms.  Objetive: to present the case of a patient with an open fracture of the tibial plateau type VI by Schatzker J.  Case report: a 61 year old mixed race, woman without health morbid antecedents, who after having a traffic accident was taken to emergency room of Orthopedics and Traumatology complaining of pain, swelling and limitation of movement of the left knee and leg. Simple imaging examination in antero-posterior and lateral views showed a structural break in the continuity of bone at epiphysis and metaphysis in the left proximal tibia. Definite treatment consisted of an osteosynthesis with cannulated screw and fixation by an external device type Hoffmann 1 with two pins in femur and tibia respectively.  Conclusions: tibial plateau fractures type VI according to Schatzker J classification system are difficult to treat because of associated lesions and complications as open fractures and skin loss. External fixation is a useful and easy method to fix complex fractures as tibial plateau fractures.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[FRACTURAS DE LA TIBIA/ cirugía]]></kwd>
<kwd lng="es"><![CDATA[LESIONES DE MENISCO TIBIAL /terapia]]></kwd>
<kwd lng="es"><![CDATA[FRACTURAS POR COMPRESIÓN]]></kwd>
<kwd lng="es"><![CDATA[FRACTURAS ABIERTAS]]></kwd>
<kwd lng="es"><![CDATA[FIJADORES EXTERNOS]]></kwd>
<kwd lng="en"><![CDATA[TIBIAL FRACTURES/surgery]]></kwd>
<kwd lng="en"><![CDATA[TIBIAL MENISCUS INJURIES/therapy]]></kwd>
<kwd lng="en"><![CDATA[FRACTURES, COMPRESSION]]></kwd>
<kwd lng="en"><![CDATA[FRACTURES, OPEN]]></kwd>
<kwd lng="en"><![CDATA[EXTERNAL FIXATORS]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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