<?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[Arch méd Camagüey]]></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>S1025-02552023000100066</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Comportamiento de fracturas diafisarias del fémur en el niño]]></article-title>
<article-title xml:lang="en"><![CDATA[Behavior of diaphyseal fractures of the femur in children]]></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[Valdebenito-Aceitón]]></surname>
<given-names><![CDATA[Valentina]]></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 Hospital Pediátrico Provincial Dr. Eduardo Agramonte Piña 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>Cuba</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de Ciencias Médicas 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>00</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<volume>27</volume>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1025-02552023000100066&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1025-02552023000100066&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1025-02552023000100066&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: Las fracturas de la diáfisis del fémur en las edades pediátricas representan un problema de salud que necesita de la intervención del ortopedista, quien aplica una de las distintas modalidades de tratamiento, que van desde la conservadora a la quirúrgica.  Objetivo: Describir las características epidemiológicas de un grupo de pacientes pediátricos diagnosticados y tratados con esta enfermedad traumática.  Métodos: Se realizó un estudio observacional descriptivo en 54 pacientes atendidos en el Hospital Pediátrico Provincial Dr. Eduardo Agramonte Piña de la provincia Camagüey desde el primero de enero de 2018 al 31 de diciembre del año 2022 con un total de 60 meses.  Resultados:  La razón sexo masculino-femenino de los 54 pacientes fue de 2,8 a 1, fémur izquierdo-derecho de 1,2 a 1. El promedio de edades en general fue de 8,1 años. La estadía hospitalaria promedio fue de seis días. El tercio medio estuvo afectado en el 57,4 % de los casos. Los meses de julio y diciembre en conjunto con los días del martes y domingo fueron los que presentaron la mayor cantidad de pacientes. El tratamiento más empleado fue la colocación de espica de yeso en 28 pacientes para un 51,8 %, los clavos rígidos fueron utilizados en 16 enfermos y representó el 29,6 %. Por su parte, los clavos flexibles fueron colocados en 10 casos para un 18,5 %.  Conclusiones: Las fracturas de la diáfisis femoral en las edades pediátricas son más frecuentes en el sexo masculino, lado izquierdo, en el tercio medio, con patrón transversal. Los meses del año con mayor incidencia fueron julio y diciembre y los días martes y domingo. El tratamiento depende de la edad, peso y configuración de la fractura.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: Fractures of the diaphysis of the femur in children, represent a health problem that requires the intervention of an orthopedist who applies various treatment modalities ranging from conservative to surgical.  Objective: To describe the epidemiological characteristics of a group of pediatric patients with this traumatic entity.  Methods: A descriptive observational study was carried out in 54 patients treated at the Dr. Eduardo Agramonte Piña Provincial Pediatric Hospital in the city of Camagüey from January 1st, 2018 to December 31st, 2022 with a total of 60 months.  Results: The male-female sex ratio of the 54 patients was 2.8 to 1, left-right femur 1.2 to 1. The average age in general was 8.1 years. The average hospital stay was 6 days. The middle third was affected in 57.4 % of the cases. The months of July and December together with the days of Tuesday and Sunday were the ones that presented the largest number of patients. The most used treatment was the placement of a plaster spike in 28 patients for 51.8%, rigid intramedullary nails were used in 16 patients and represented 29.6 %. On the other hand, flexible intramedullary nails were placed in 10 cases for 18.5%.  Conclusions: Femoral diaphysis fractures in children are more frequent in males, left side, in the middle third, with a transversal pattern. The months of the year with the highest incidence were July and December and on Tuesdays and Sundays. Treatment depends on age, weight, and configuration of the fracture.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[FRACTURAS DEL FÉMUR]]></kwd>
<kwd lng="es"><![CDATA[FÉMUR]]></kwd>
<kwd lng="es"><![CDATA[DIÁFISIS]]></kwd>
<kwd lng="es"><![CDATA[NIÑO]]></kwd>
<kwd lng="es"><![CDATA[MOLDES QUIRÚRGICOS]]></kwd>
<kwd lng="en"><![CDATA[FEMORAL FRACTURES]]></kwd>
<kwd lng="en"><![CDATA[FEMUR]]></kwd>
<kwd lng="en"><![CDATA[DIAPHYSES]]></kwd>
<kwd lng="en"><![CDATA[CHILD]]></kwd>
<kwd lng="en"><![CDATA[CASTS, SURGICAL]]></kwd>
</kwd-group>
</article-meta>
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