<?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>S1025-02552020000600013</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Fracturas diafisarias del tercio distal de la tibia]]></article-title>
<article-title xml:lang="en"><![CDATA[Diaphyseal distal third tibial fractures]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alvarez-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-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Camagüey Hospital Universitario Manuel Ascunce Domenech Departamento 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 ]]></institution>
<addr-line><![CDATA[Concepción ]]></addr-line>
<country>Chile</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<volume>24</volume>
<numero>6</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1025-02552020000600013&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1025-02552020000600013&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1025-02552020000600013&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Fundamento: las fracturas diafisarias de la tibia son frecuentes, afectan a pacientes por lo general jóvenes. Las del tercio distal de la tibia tienen peculiaridades debido a su localización anatómica y vascularización.  Objetivo:  actualizar los elementos más distintivos de las fracturas diafisarias del tercio distal de la tibia y el enfrentamiento terapéutico.  Métodos:  la búsqueda y análisis de la información se realizó en un periodo de cuatro meses (primero de abril de 2019 al 30 de junio de 2019), se emplearon las siguientes palabras claves: distal third tibial fracture, fractures of the distal tibia, diaphyseal tibial fractures. A partir de la información obtenida se realizó una revisión bibliográfica de un total de 563 artículos publicados en las bases de datos PubMed, Hinari, SciELO y Medline mediante el gestor de búsqueda y administrador de referencias EndNote, de ellos se utilizaron 37 citas seleccionadas para realizar la revisión, 33 de los últimos cinco años, además se consultaron 11 libros.  Resultados: se mencionan los bordes anatómicos del tercio distal de la tibia. Se describen los métodos de tratamiento tanto conservador como quirúrgico con especial énfasis en la fijación intramedular y técnica de colocación. Se hace referencia a otros métodos de fijación como la fijación externa, placas y tornillos con indicaciones específicas. Para concluir se aborda el retardo de la consolidación y pseudoartrosis mediante el uso de la proteína ósea morfogenética.  Conclusiones: las fracturas del tercio distal de la tibia necesitan de la pericia del personal médico tratante para disminuir complicaciones relacionadas con las características anatómicas de la zona y biomecánica del trauma.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Background:  the diaphyseal fractures of the tibia are frequent entities that usually affect young patients. Those located in the distal third of the tibia have peculiarities due to their anatomical location and vascularization.  Objective:  to update the most distinctive elements of the diaphyseal fractures of the distal third of the tibia and the therapeutic confrontation.  Methods:  the information search and analysis was performed over a period of four months (April 1st, 2019 to June 30th, 2019) and the following words were used: distal third tibial fracture, fractures of the distal tibia, diaphyseal tibial fractures. Based on the information obtained, a bibliographic review of a total of 563 articles published in the PubMed, Hinari, SciELO and Medline databases was carried out using the search manager and EndNote reference manager, of which 37 citations selected were used to carry out the review, of them 33 of the last five years and 11 books were consulted.  Results:  the anatomical edges of the distal third of the tibia are mentioned. Both conservative and surgical treatment methods are described with special emphasis on intramedullary fixation and placement technique. Reference is made to other fixing methods such as external fixation, plates and screws with specific indications. To conclude, the delay in consolidation and pseudoarthrosis is addressed through the use of morphogenetic bone protein.  Conclusions:  fractures of the distal third of the tibia need the expertise of the medical staff to reduce complications related to the anatomical characteristics of the area and biomechanics of the trauma.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[FRACTURAS DE LA TIBIA/complicaciones]]></kwd>
<kwd lng="es"><![CDATA[FRACTURAS DE LA TIBIA/terapia]]></kwd>
<kwd lng="es"><![CDATA[FRACTURAS DE LA TIBIA/cirugía]]></kwd>
<kwd lng="es"><![CDATA[FIJACIÓN INTRAMEDULAR DE FRACTURAS]]></kwd>
<kwd lng="es"><![CDATA[PROCEDIMIENTOS ORTOPÉDICOS]]></kwd>
<kwd lng="en"><![CDATA[TIBIAL FRACTURES/complications]]></kwd>
<kwd lng="en"><![CDATA[TIBIAL FRACTURES/therapy]]></kwd>
<kwd lng="en"><![CDATA[TIBIAL FRACTURES/surgery]]></kwd>
<kwd lng="en"><![CDATA[FRACTURE FIXATION, INTRAMEDULLARY]]></kwd>
<kwd lng="en"><![CDATA[ORTHOPEDIC PROCEDURES]]></kwd>
</kwd-group>
</article-meta>
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