<?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>1817-5996</journal-id>
<journal-title><![CDATA[Revista Cubana de Reumatología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cuba Reumatol]]></abbrev-journal-title>
<issn>1817-5996</issn>
<publisher>
<publisher-name><![CDATA[Editorial CIMEQ]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1817-59962019000400009</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Fractura de esternón, fijación con lámina y tornillos. Revisión de la literatura a propósito de un caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Fracture of sternum, fixation with blade and screws. Review of the literature on a case]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mellado Herrera]]></surname>
<given-names><![CDATA[Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mellado Soler]]></surname>
<given-names><![CDATA[Javier de Jesús]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de La Habana Hospital Miguel Enríquez Facultad de Ciencias Médicas Miguel Enríquez]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2019</year>
</pub-date>
<volume>21</volume>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1817-59962019000400009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1817-59962019000400009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1817-59962019000400009&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  las fracturas aisladas de esternón son infrecuentes, representando el 8 % de los ingresos por trauma torácico, existiendo pocos reportes en la literatura médica. El tratamiento generalmente consiste en realizar reposo, tomar medicamentos para aliviar el dolor y el fomento de ejercicios de respiración profunda para evitar el colapso localizado de los pulmones. En fracturas esternales más graves, tales como aquellas con desplazamiento óseo, pueden requerir intervención quirúrgica para restaurar la alineación ósea y fijar los huesos, usando alambres, clavos o placas con tornillos.  Objetivo:  demostrar la eficacia de la osteosíntesis con lámina y tornillos en la fractura esternal con desplazamiento óseo.  Método:  se presenta un caso donde se describe el diagnóstico y tratamiento de un paciente que sufrió una precipitación de alrededor 5 metros y recibió un trauma directo en la cara anterior del tórax, con el diagnóstico de fractura aislada de esternón con gran desplazamiento óseo e intenso dolor torácico.  Resultados:  se llevó a cabo un tratamiento quirúrgico para restaurar la alineación ósea y fijar los huesos mediante el uso de lámina y tornillos, la evolución fue satisfactoria y en los diez meses posteriores el paciente se mantuvo sin síntomas y se retiró la lámina.  Conclusiones:  esta modalidad de reducción y osteosíntesis es un proceder rápido y eficaz, sin dejar secuelas o algún grado de incapacidad relacionados a la ruptura.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  isolated fractures of the sternum are infrequent, representing 8% of the income from chest trauma, and there are few reports in the medical literature. The treatment usually consists of resting, taking medications to relieve pain and encouraging deep breathing exercises to avoid localized collapse of the lungs. In more severe sternal fractures, such as those with bone displacement, they may require surgical intervention to restore bone alignment and fix the bones, using wires, nails or plates with screws.  Objective:  to demonstrate the efficacy of osteosynthesis with lamina and screws in the sternal fracture with bone displacement.  Method:  We present a case through a work where we describe the diagnosis and treatment of a patient who suffered a rainfall of around 5 meters and received a direct trauma to the anterior aspect of the thorax, with the diagnosis of isolated fracture of the sternum with large bone displacement. Intense chest pain  Results:  we carried out a surgical treatment to restore the bone alignment and fix the bones by using foil and screws, the evolution was satisfactory and in the ten months after the patient remained without symptoms and we removed the lamina.  Conclusions:  this modality of reduction and osteosynthesis is a fast and effective procedure, without leaving sequels or some degree of disability related to the rupture.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[fractura de esternón]]></kwd>
<kwd lng="es"><![CDATA[fijación con lámina y tornillos]]></kwd>
<kwd lng="en"><![CDATA[sternum fracture]]></kwd>
<kwd lng="en"><![CDATA[fixing with sheet and screws]]></kwd>
</kwd-group>
</article-meta>
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