<?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>S0864-215X2019000100006</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Offset femoral en los resultados clínicos y funcionales de los pacientes]]></article-title>
<article-title xml:lang="en"><![CDATA[Femoral offset in the clinical and functional results of patients]]></article-title>
<article-title xml:lang="fr"><![CDATA[Le déport fémoral dans les résultats cliniques et fonctionnels des patients]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López-Trabucco]]></surname>
<given-names><![CDATA[Roxana Elena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pelayo-de-Tomás]]></surname>
<given-names><![CDATA[José Manuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Novoa-Parra]]></surname>
<given-names><![CDATA[Carlos Daniel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Suárez-Varela]]></surname>
<given-names><![CDATA[María Morales]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodrigo-Pérez]]></surname>
<given-names><![CDATA[José Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario Doctor Peset Servicio de Traumatología y Cirugía Ortopédica ]]></institution>
<addr-line><![CDATA[Valencia ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Valencia Departamento de Medicina Preventiva Unidad de Salud Pública, Higiene y Sanidad Ambiental]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Consorcio de Investigación Biomédica en Red de Epidemiología y Salud Pública  ]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<volume>33</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0864-215X2019000100006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0864-215X2019000100006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0864-215X2019000100006&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: La restauración de las fuerzas biomecánicas a través del ajuste del offset y la longitud de miembros se ha convertido en un objetivo importante cuando el cirujano busca un buen resultado funcional postoperatorio. Sin embargo, las ventajas clínicas de la restauración del offset femoral y las complicaciones del fallo en la restauración no han sido claramente establecidas.  Objetivo:  Evaluar el efecto del offset o voladizo femoral en los resultados clínicos y funcionales de los pacientes.  Adquisición de la evidencia:  Se realizó una exploración en la base de datos Pubmed, con las palabras clave: &#8220;artroplastia de cadera&#8221;, &#8220;prótesis de cadera&#8221;, &#8220;resultado clínico&#8221; y &#8220;resultado funcional&#8221;. Se buscaron artículos publicados entre 2008 y 2018, basados en humanos y escritos en inglés, español o francés. Se seleccionaron seis artículos que ncluían la presencia de una medición radiológica del offset femoral claramente explicada, escalas validadas y análisis comparativo.  Resultados:  La literatura consultada reflejó resultados heterogéneos. En el grupo de pacientes con offset disminuido, un artículo mostró menos función. En otro estudio se observó mejor puntuación en el grupo de enfermos con offset aumentado. A su vez, en una investigación se comprobó menos dolor en el grupo de offset disminuido.  Conclusiones:  Debido a la inconsistencia en los resultados y en las metodologías empleadas, no ha sido posible reconocer el beneficio clínico y funcional de la restauración del offset. Algunos autores incluidos en esta revisión, después de no encontrar diferencias estadísticamente significativas, afirmaron que la restauración o el aumento del offset femoral aportó buenos resultados, sin efectos negativos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: The restoration of biomechanical forces through offset adjustment and limb length has become an important objective when the surgeon seeks a good postoperative functional result. However, the clinical advantages of femoral offset restoration and complications of restoration failure have not been clearly established.  Objective:  To evaluate the effect of offset or femoral cantilever on the clinical and functional results of the patients.  Acquisition of evidence:  An exploration was carried out in the Pubmed database, with the keywords: &#8220;hip arthroplasty&#8221;, &#8220;hip prosthesis&#8221;, &#8220;clinical result&#8221; and &#8220;functional result&#8221;. We searched for articles published from 2008 to 2018, based on humans and written in English, Spanish or French. Six articles were selected because they clearly explained the presence of a radiological measurement of the femoral offset, including validated scales and comparative analysis.  Results:  The literature consulted reflected heterogeneous results. In the group of patients with decreased offset, one article showed less function. In another study, a better score was observed in the group of patients with increased offset. In turn, one investigation reported less pain was found in the reduced offset group.  Conclusions:  Due to the inconsistency in the results and the methodologies used, it has not been possible to recognize the clinical and functional benefit of offset restoration. Some authors included in this review, after not finding statistically significant differences, stated that the restoration or increase of the femoral offset provided good results, without negative effects.]]></p></abstract>
<abstract abstract-type="short" xml:lang="fr"><p><![CDATA[RÉSUMÉ  Introduction:  La restauration des forces biomécaniques par ajustement du déport et la longueur des membres est devenue un objectif important lorsque le chirurgien cherche un bon résultat fonctionnel postopératoire. Cependant, les bénéfices cliniques de la restauration du déport fémoral et les complications dues aux troubles de cette restauration n&#8217;ont pas été clairement définis.  Objectif:  Évaluer l&#8217;effet du déport fémoral (offset) sur les résultats cliniques et fonctionnels des patients.  Acquisition des données:  Une exploration a été effectuée dans la base de données PubMed, en utilisant les mots clés «artroplastia de cadera», «prótesis de cadera», «resultado clínico» et «resultado funcional». On a cherché des articles publiés entre 2008 et 2018, basés sur des études chez les humains et écrits en anglais, espagnol ou français. Six articles comprenant la présence d&#8217;une mesure radiologique du déport fémoral clairement expliquée, des échelles validées et une analyse comparative ont été sélectionnés.  Résultats:  La littérature consultée a montré des résultats hétérogènes. Un article a mis en évidence une faible fonction dans un groupe de patients ayant un déport diminué. Dans une autre étude, on a trouvé une meilleure ponctuation dans un groupe de malades ayant un déport augmenté. Au même temps, on a pu constater dans une recherche qu&#8217;il y a eu moins douleur dans un groupe ayant un déport diminué.  Conclusions:  Due à l&#8217;inconsistance des résultats et des méthodologies employées, il a été impossible de démontrer le bénéfice clinique et fonctionnel de la restauration du déport. Malgré l&#8217;impossibilité de trouver de différences statistiquement significatives, quelques auteurs inclus dans cette revue de littérature ont affirmé que la restauration ou augmentation du déport fémoral a donné de bons résultats, sans effets indésirables.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[prótesis total de cadera]]></kwd>
<kwd lng="es"><![CDATA[artroplastia total de cadera]]></kwd>
<kwd lng="es"><![CDATA[offset.]]></kwd>
<kwd lng="en"><![CDATA[total hip prosthesis]]></kwd>
<kwd lng="en"><![CDATA[total hip arthroplasty]]></kwd>
<kwd lng="en"><![CDATA[offset]]></kwd>
<kwd lng="fr"><![CDATA[prothèse totale de hanche]]></kwd>
<kwd lng="fr"><![CDATA[arthroplastie totale de hanche]]></kwd>
<kwd lng="fr"><![CDATA[déport]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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