<?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>S0864-215X2021000200019</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Colgajo sural reverso más injerto libre en reconstrucción del talón y tobillo]]></article-title>
<article-title xml:lang="en"><![CDATA[Reverse Sural Flap plus Free Graft in Heel and Ankle Reconstruction]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mata Cuevas]]></surname>
<given-names><![CDATA[Roberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morales Piñéiro]]></surname>
<given-names><![CDATA[Sergio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez Estupiñan]]></surname>
<given-names><![CDATA[Lázaro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas Hospital Provincial General Universitario &#8220;Mártires del 9 de abril&#8221; ]]></institution>
<addr-line><![CDATA[ Villa Clara]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<volume>35</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0864-215X2021000200019&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0864-215X2021000200019&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0864-215X2021000200019&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: Las lesiones traumáticas con pérdida de cobertura cutánea de la región del tobillo y pie, constituyen un gran reto para el cirujano ortopédico por la exposición y destrucción de tejidos nobles, difíciles de solucionar por ser una zona que presenta escaso tejido adiposo, múltiples tendones, poco volumen muscular, varias prominencias óseas y piel poco elástica. Objetivo: Presentar el colgajo sural de flujo reverso como una buena alternativa para tratar la fractura conminuta cerrada de tibia con pérdida masiva de la piel del tobillo y calcáneo en toda su circunferencia, incluida la almohadilla adiposa de la cara plantar.  Presentación del caso:  Se presenta paciente de 24 años que sufrió accidente de tránsito con fractura conminuta y cerrada de tibia derecha, además de una herida tipo colgajo que dejó expuesto el calcáneo y la región del tobillo. Luego de colocar fijador externo RALCA para fijar la fractura, se realizó colgajo sural en isla de flujo reverso para cubrir el defecto en la cara plantar y posterior del calcáneo, más injerto libre de piel tomado de la cara antero externa del muslo ipsilateral. Estos procedimientos fueron realizados en dos tiempos quirúrgicos.  Conclusiones: El colgajo sural de flujo reverso demostró ser una de las mejores alternativas para la cobertura de lesiones desde el tercio medio de la pierna hasta el pie, por lo que debería ser conocido no solo por cirujanos plásticos, sino también por cirujanos ortopédicos y traumatólogos que lo incorporen a su arsenal terapéutico para su realización.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Traumatic injuries with loss of skin coverage of the ankle and foot region constitute great challenge for the orthopedic surgeon due to the exposure and destruction of noble tissues, difficult to solve because this area has little adipose tissue, multiple tendons , little muscle volume, several bony prominences and not very elastic skin.  Objective:  To establish that the reverse flow sural flap is a good alternative to treat closed comminuted fracture of the tibia with massive skin loss of the entire circumference of the ankle and calcaneus, including the plantar face fat pad.  Case report: We report the case of a 24-year-old patient who suffered a traffic accident with a comminuted and closed fracture of the right tibia, as well as a flap-type wound that exposed the calcaneus and the ankle region. After placing RALCA external fixator to fix the fracture, a reverse flow island sural flap was made to cover the defect on the plantar and posterior aspect of the calcaneus, and a free skin graft taken from the anterior external aspect of the ipsilateral thigh. These procedures were performed in two surgical stages.  Conclusions:  The reverse flow sural flap proved to be one of the best alternatives for the coverage of injuries from the middle third of the leg to the foot, which is why it should be known not only by plastic surgeons, but also by orthopedic surgeons and traumatologists and to incorporate this alternative into their therapeutic arsenal.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[colgajos quirúrgicos]]></kwd>
<kwd lng="es"><![CDATA[fracturas/cirugía]]></kwd>
<kwd lng="es"><![CDATA[procedimientos ortopédicos]]></kwd>
<kwd lng="es"><![CDATA[métodos]]></kwd>
<kwd lng="en"><![CDATA[surgical flaps]]></kwd>
<kwd lng="en"><![CDATA[fractures]]></kwd>
<kwd lng="en"><![CDATA[surgery]]></kwd>
<kwd lng="en"><![CDATA[orthopedic procedures]]></kwd>
<kwd lng="en"><![CDATA[methods]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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