<?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>1684-1824</journal-id>
<journal-title><![CDATA[Revista Médica Electrónica]]></journal-title>
<abbrev-journal-title><![CDATA[Rev.Med.Electrón.]]></abbrev-journal-title>
<issn>1684-1824</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Matanzas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1684-18242019000100045</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Osteosíntesis con tornillos de esponjosa, en mayores de 75 años con fractura del cuello femoral]]></article-title>
<article-title xml:lang="en"><![CDATA[Osteosynthesis in patients elder than 75 years with femoral neck fracture]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Domínguez Llama]]></surname>
<given-names><![CDATA[Jorge Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández Suárez]]></surname>
<given-names><![CDATA[Bárbaro Abilio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ávila Segovia]]></surname>
<given-names><![CDATA[Ángela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández Alfonso]]></surname>
<given-names><![CDATA[Odalys Maricela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Domínguez Hidalgo]]></surname>
<given-names><![CDATA[Luis Ricardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hidalgo Ruiz]]></surname>
<given-names><![CDATA[Maricela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario Clínico Quirúrgico Comandante Faustino Pérez Hernández  ]]></institution>
<addr-line><![CDATA[ Matanzas]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Ciencias Médicas de Matanzas  ]]></institution>
<addr-line><![CDATA[ Matanzas]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>02</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>02</month>
<year>2019</year>
</pub-date>
<volume>41</volume>
<numero>1</numero>
<fpage>45</fpage>
<lpage>53</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1684-18242019000100045&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1684-18242019000100045&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1684-18242019000100045&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  la fractura de cadera se asocia con el 30% de mortalidad durante el primer año, con daño permanente a la independencia del paciente y su calidad de vida. En el mundo se presentan 4.5 millones de personas con fractura de cadera y se esperan 21 millones para el 2040.  Objetivo:  definir la efectividad del tratamiento con tornillos de esponjosa a mayores de 75 años con fractura del cuello femoral.  Materiales y métodos:  se realizó un estudio prospectivo, observacional a pacientes mayores de 75 años de edad, con fractura del cuello femoral, intervenidos quirúrgicamente con tornillos de esponjosa de 6.5 mm en el Hospital Provincial Clínico Quirúrgico Docente &#8220;José Ramón López Tabrane&#8221; de Matanzas entre enero de 2015 y enero de 2016. El Universo quedó constituido por 17 pacientes según nuestros criterios de inclusión.  Resultados:  predominó el grupo de edad de 80 a 85 años y el género masculino, fueron más frecuentes las fracturas subcapitales, con evaluación final de bueno fueron calificados la mayoría de los pacientes (14), de regular uno y de mal dos pacientes.  Conclusiones:  se recomienda el empleo de tratamiento con tornillos de esponjosa en pacientes mayores de 75 años con fractura del cuello femoral siempre que sea posible, por su sencillez y buena evolución, frente al uso de las prótesis simples. Insistimos en la necesidad de la rehabilitación precoz.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  hip fracture is associated to 30 % of mortality during the first year, with permanent damage to patient&#8217;s independence and life quality. Around the world, 4.5 millions of persons present hip fracture and it is believed that 21 millions will present it in 2040.  Objective:  to define the effectiveness of the treatment with spongeal screws in patients elder than 75 years with femoral fracture.  Material and methods:  a prospective, observational study was carried out in patients elder than 75 years old, with femoral neck fracture, surgically treated using 6.5 mm spongeal screws in the Teaching Provincial Clinico-surgical Hospital &#8220;Jose Ramon Lopez Tabrane&#8221;, of Matanzas, from January 2015 to January 2016. The universe was formed by 17 patients according to the inclusion criteria.  Results:  the 80-85-years-old age group and male sex predominated; sub- capital fractures were the most frequent. Most of the patients (14) were evaluated as good at the end; one patient was regular and two were bad.  Conclusions:  it is recommended the use of the treatment with spongeal screws in patients elder than 75 years old with femoral neck fracture any time it will be possible, due to its simplicity and good evolution in comparison with the use of simple prostheses. Precocious rehabilitation is an unavoidable necessity.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[fracturas de cadera]]></kwd>
<kwd lng="es"><![CDATA[osteosíntesis]]></kwd>
<kwd lng="es"><![CDATA[tornillos de esponjosa.]]></kwd>
<kwd lng="en"><![CDATA[hip fracture]]></kwd>
<kwd lng="en"><![CDATA[osteosynthesis]]></kwd>
<kwd lng="en"><![CDATA[spongeal screws.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Metcalfe]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Gabbe]]></surname>
<given-names><![CDATA[BJ]]></given-names>
</name>
<name>
<surname><![CDATA[Perry]]></surname>
<given-names><![CDATA[DC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Quality of care for patients with a fracture of the hip in major trauma centers: a national observational study]]></article-title>
<source><![CDATA[Bone Joint J]]></source>
<year>2016</year>
<volume>98-B</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>414-9</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Volpato]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Guralnik]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Hip fractures: comprehensive geriatric care and recovery]]></article-title>
<source><![CDATA[Lancet]]></source>
<year>2015</year>
<volume>385</volume>
<numero>9978</numero>
<issue>9978</issue>
<page-range>1594-5</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ehlinger]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Adam]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Fractura del extremo superior del fémur]]></article-title>
<source><![CDATA[EMC Aparato locomotor]]></source>
<year>2014</year>
<volume>47</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>1-19</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bossart]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Hip and Femur Injuries]]></article-title>
<source><![CDATA[Emergency Medicine]]></source>
<year>2013</year>
<volume>83</volume>
<page-range>726-30</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bateman]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Medical Management of the Patient with Hip Fracture Patient: A Comprehensive Review for the Internist]]></article-title>
<source><![CDATA[Ochsner J]]></source>
<year>2012</year>
<volume>12</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>101-10</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chelala Friman]]></surname>
<given-names><![CDATA[CR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[¿Será la fractura de cadera la epidemia del siglo XXI?]]></article-title>
<source><![CDATA[CCM]]></source>
<year>2013</year>
<volume>17</volume>
<numero>2</numero>
<issue>2</issue>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hernández Rodríguez]]></surname>
<given-names><![CDATA[AR]]></given-names>
</name>
</person-group>
<source><![CDATA[Guías de práctica clínica. Manejo de la fractura de cadera en el adulto mayor]]></source>
<year>2009</year>
<publisher-loc><![CDATA[La Habana ]]></publisher-loc>
<publisher-name><![CDATA[Ecimed]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Suárez Monzón]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Costo-beneficio en los procesos de atención a los pacientes con fractura de cadera]]></article-title>
<source><![CDATA[Medisur]]></source>
<year>2015</year>
<volume>13</volume>
<numero>3</numero>
<issue>3</issue>
</nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ruíz Rituerto]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Fernández Rodríguez]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Señarís Rodríguez]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<source><![CDATA[Lesiones de pelvis, cadera y fémur]]></source>
<year>2017</year>
<publisher-loc><![CDATA[España ]]></publisher-loc>
<publisher-name><![CDATA[Elsevier]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<collab>Fracture fixation in the operative management of hip fractures (FAITH): an international, multicentre, randomised controlled trial</collab>
<article-title xml:lang=""><![CDATA[Fixation using Alternative Implants for the Treatment of Hip fractures (FAITH) Investigators]]></article-title>
<source><![CDATA[Lancet]]></source>
<year>2017</year>
<volume>389</volume>
<numero>10078</numero>
<issue>10078</issue>
<page-range>1519-27</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Parker]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Hemiarthroplasty versus internal fixation for displaced intracapsular fractures of the hip in elderly men: a pilot randomised trial]]></article-title>
<source><![CDATA[Bone Joint J]]></source>
<year>2015</year>
<volume>97-B</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>992-6</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Quinn]]></surname>
<given-names><![CDATA[RH]]></given-names>
</name>
<name>
<surname><![CDATA[Mooar]]></surname>
<given-names><![CDATA[PA]]></given-names>
</name>
<name>
<surname><![CDATA[Murray]]></surname>
<given-names><![CDATA[JN]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Sevarino. Treatment of Hip Fractures in the Elderly]]></article-title>
<source><![CDATA[J Am Acad Orthop Surg]]></source>
<year>2017</year>
<volume>25</volume>
<numero>5</numero>
<issue>5</issue>
</nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Khan]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Hossain]]></surname>
<given-names><![CDATA[FS]]></given-names>
</name>
<name>
<surname><![CDATA[Ahmed]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Predictors of early mortality after hip fracture surgery]]></article-title>
<source><![CDATA[Int Orthop]]></source>
<year>2013</year>
<volume>37</volume>
<numero>11</numero>
<issue>11</issue>
<page-range>2119-24</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kapicioglu]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Ersen]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Saglam]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Hip fractures in extremely old patients]]></article-title>
<source><![CDATA[J Orthop]]></source>
<year>2014</year>
<volume>11</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>136-41</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Amigo Castañeda]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez Díaz]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Castañeda Gueimonde]]></surname>
<given-names><![CDATA[CM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Comportamiento intrahospitalario entre las fracturas de cadera intracapsulares y las extracapsulares]]></article-title>
<source><![CDATA[Rev Cubana Ortop Traumatol]]></source>
<year>2012</year>
<volume>26</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="book">
<collab>MINSAP</collab>
<source><![CDATA[Anuario Estadístico de Salud en Cuba]]></source>
<year>2014</year>
<publisher-loc><![CDATA[La Habana ]]></publisher-loc>
<publisher-name><![CDATA[MINSAP]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Alarcón Alarcón]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[González Montalvo]]></surname>
<given-names><![CDATA[JI]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Atención integral al anciano con fractura de cadera]]></article-title>
<source><![CDATA[Tratado de Medicina geriátrica. Cap. 80]]></source>
<year>2015</year>
<page-range>635-44</page-range><publisher-loc><![CDATA[España ]]></publisher-loc>
<publisher-name><![CDATA[Elsevier]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chughtai]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Khlopas]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Mont]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Fixation methods in the management of hip fractures]]></article-title>
<source><![CDATA[Lancet]]></source>
<year>2017</year>
<volume>389</volume>
<numero>10078</numero>
<issue>10078</issue>
<page-range>1493-4</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
