<?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>1561-3194</journal-id>
<journal-title><![CDATA[Revista de Ciencias Médicas de Pinar del Río]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Ciencias Médicas]]></abbrev-journal-title>
<issn>1561-3194</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1561-31942022000200020</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Tratamiento artroscópico, ostectomia del peroné y lisado de plaquetas en gonartrosis y deformidad en varo]]></article-title>
<article-title xml:lang="en"><![CDATA[Arthroscopic treatment, fibula osteotomy and platelet lysate in gonarthrosis and varus deformity]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cordero-Betancourt]]></surname>
<given-names><![CDATA[Lázaro Leduan]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Reyes-Chirino]]></surname>
<given-names><![CDATA[Guillermo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez-Couce]]></surname>
<given-names><![CDATA[Idania]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valdés-Camalleri]]></surname>
<given-names><![CDATA[José Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Blanco-Cabrera]]></surname>
<given-names><![CDATA[Roberto Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cuellar-Viera]]></surname>
<given-names><![CDATA[Yasandy]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Pinar del Río Hospital General Docente Abel Santamaría Cuadrado ]]></institution>
<addr-line><![CDATA[Pinar del Río ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Ciencias Médicas de Matanzas Policlínico José Jacinto Milanés ]]></institution>
<addr-line><![CDATA[Matanzas ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2022</year>
</pub-date>
<volume>26</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1561-31942022000200020&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1561-31942022000200020&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1561-31942022000200020&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  la rodilla es la articulación más afectada por los procesos degenerativos, que en ocasiones se asocian a deformidades angulares con mayor frecuencia el varus, lo que hace más difícil su tratamiento. La artrosis de rodilla es una afección muy invalidante, caracterizada por dolor, rigidez, inestabilidad y pérdida funcional. Es una enfermedad degenerativa que ha aumentado su prevalencia en las últimas décadas, muy ligada al mayor envejecimiento poblacional.  Objetivo:  evaluar los resultados con la aplicación combinada de la artoscopia, ostectomia del peroné y lisado de plaquetas en pacientes con gonartrosis y deformidad en varo, en el servicio de ortopedia del Hospital Abel Santamaría, en el periodo abril del 2018 y diciembre del 2019.  Metodos:  se realizó un estudio, descriptivo, longitudinal y prospectivo en el Hospital &#8220;Abel Santamaría Cuadrado&#8221; entre los años 2018 - 2019, en el cual se combinó la técnica del Dr. Ying-Ze Zhang, del departamento de cirugía ortopédica del Tercer Hospital de la Universidad Médica de Hebei en Shijiazhuang, China, con la artroscopía y la aplicación de plaquetas lisadas en los pacientes que presentaron gonartrosis y deformidad en varo de las rodillas.  Resultados:  el promedio de edad fue de 64 años, se trataron ocho mujeres y nueve hombres. Se aplicó la escala visual analógica para el dolor pre y posoperatorio. Solo quince pacientes fueron evaluados de bien para el 88,2 %, y dos de regular para el 11,7 %, y se presentó una complicación.  Conclusiones: con la aplicación combinada de artroscopía osteotomía del peroné y lisados de plaquetas en pacientes con gonartrosis y deformidad en varus, se obtienen buenos resultados, con mejoría o desaparición de los síntomas y signos clínicos pre existente.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: the knee is the joint most affected by degenerative processes, which are sometimes associated with angular deformities, most frequently varus deformity, which makes their treatment more difficult. Knee osteoarthritis is a very disabling condition, characterized by pain, stiffness, instability and functional loss. It is a degenerative disease that has increased its prevalence in recent decades, closely linked to the aging of the population.  Objective: to evaluate the results with the combined application of arthroscopy, fibula osteotomy and platelet lysate in patients with gonarthrosis and varus deformity, in the orthopedic service at Abel Santamaria Cuadrado General Teaching Hospital, in the period April 2018 and December 2019.  Methods: a descriptive, longitudinal and prospective study was conducted at Abel Santamaria Cuadrado General Teaching Hospital between 2018 and 2019, in which the technique of Dr. Ying Ze Zhang, from the department of orthopedics, was combined with the technique of Dr. Ying Ze Zhang, from the department of orthopedics of the orthopedic surgery department belonging to the Third Hospital of Hebei Medical University in Shijiazhuang, China, with arthroscopy and the application of platelet lysate in patients who presented gonarthrosis and varus deformity of the knees. It was verified as a result in 17 patients treated after one (1) year of evolution.  Results: the average age was 64 years, being 8 women and 9 men. The visual analogical scale for pre and post-operative pain was applied; 15 patients were evaluated as good for 88,2 %, and 2 as fair for 11,7 %, and 1 complication occurred.  Conclusions: with the combined application of arthroscopy osteotomy of the fibula and platelet lysate in patients with gonarthrosis and varus deformity, good results are achieved, with improvement or disappearance of the pre-existing clinical symptoms and signs.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[ARTROSCOPÍA]]></kwd>
<kwd lng="es"><![CDATA[GENU VARUS]]></kwd>
<kwd lng="es"><![CDATA[PERONÉ]]></kwd>
<kwd lng="es"><![CDATA[ARTICULACIÓN DE LA RODILLA]]></kwd>
<kwd lng="es"><![CDATA[TRAUMATISMOS DE LA RODILLA]]></kwd>
<kwd lng="en"><![CDATA[ARTHROSCOPY]]></kwd>
<kwd lng="en"><![CDATA[GENU VARUM]]></kwd>
<kwd lng="en"><![CDATA[FIBULA]]></kwd>
<kwd lng="en"><![CDATA[KNEE JOINT]]></kwd>
<kwd lng="en"><![CDATA[KNEE INJURIES]]></kwd>
</kwd-group>
</article-meta>
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