<?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>2301-1254</journal-id>
<journal-title><![CDATA[Anales de la Facultad de Medicina]]></journal-title>
<abbrev-journal-title><![CDATA[Anfamed]]></abbrev-journal-title>
<issn>2301-1254</issn>
<publisher>
<publisher-name><![CDATA[Universidad de la República. Facultad de Medicina]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2301-12542020000101308</article-id>
<article-id pub-id-type="doi">10.25184/anfamed2020v7n1a6</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Manejo terapéutico del maléolo posterior en fracturas trimaleolares de tobillo. Revisión bibliográfica]]></article-title>
<article-title xml:lang="en"><![CDATA[Therapeutic Management of the Posterior Malleolus in Trimaleolar Ankle Fractures. Review]]></article-title>
<article-title xml:lang="pt"><![CDATA[Manejo terapêutico do maléolo posterior em fraturas do tornozelo trimaleolar. Revisão bibliográfica]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Filippini Irazun]]></surname>
<given-names><![CDATA[Juan Pedro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Machain]]></surname>
<given-names><![CDATA[Sebastián]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de la República. Facultad de Medicina ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de la República, Montevideo Facultad de Medicina Clínica de Traumatología y Ortopedia]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<volume>7</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S2301-12542020000101308&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S2301-12542020000101308&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S2301-12542020000101308&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  El manejo terapéutico de las fracturas de maléolo posterior en las fracturas trimaleolares de tobillo continúa en debate. Nuestro objetivo fue realizar una búsqueda de la evidencia científica sobre los aspectos terapéuticos de las fracturas de maléolo posterior en el contexto de las fracturas trimaleolares.  Materiales y métodos:  Se realizó una revisión de la bibliografía sistematizada por dos revisores, centrados en el manejo terapéutico del maléolo posterior.  Resultados: Se obtuvieron 16 artículos clínicos de un total de 1029 pacientes, 8 estudios nivel de evidencia II y 8 de nivel IV. Se sistematizaron las indicaciones quirúrgicas y se analizaron los resultados funcionales y las complicaciones.  Conclusiones:  La comprensión pato-anatómica de estas fracturas es cada día mayor, principalmente por la utilización habitual de tomografías computarizadas (TC). El tratamiento quirúrgico sobre el maléolo posterior está evidenciando buenos y excelentes resultados funcionales. Para una adecuada decisión terapéutica se debería tener en cuenta ciertos factores: inestabilidad tibiotalar y sindesmótica, congruencia articular y características morfológicas del maléolo posterior. La reducción abierta (RA) y fijación interna con placa de sostén es el tratamiento que ha demostrado mejores resultados a corto y mediano plazo, no encontrando estudios con seguimiento a largo plazo.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  The therapeutic management of posterior malleolus fractures in trimaleolar ankle fractures continues in debate. Our objective was to conduct a search for scientific evidence on the therapeutic aspects of posterior malleolus fractures in the context of trimaleolar fractures.  Materials and methods:  A review systematic of the literature was carried out by two reviewers, focusing on the therapeutic management of the posterior malleolus.  Results:  16 clinical articles were obtained with a total of 1029 patients, 8 studies level of evidence II and 8 studies level IV. The surgical indications were systematized, and the functional results and complications were analyzed.  Conclusions:  The patho-anatomical understanding of these fractures is increasing every day, mainly due to the usual use of CT scans. Surgical treatment on the posterior malleolus shows good and excellent functional results. For an adequate therapeutic decision certain factors should be taken into account: tibiotalar and syndesmotic instability, joint congruence and morphological characteristics of the posterior malleolus. Open reduction and internal fixation with support plate is the treatment that has shown better results in the short and medium term, not finding studies with long-term follow-up.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Introdução:  O tratamento terapêutico das fraturas do maléolo posterior nas fraturas do tornozelo trimaleolar continua em debate. Nosso objetivo foi realizar uma pesquisa de evidências científicas sobre os aspectos terapêuticos das fraturas do maléolo posterior no contexto das fraturas trimaleolares.  Materiais e métodos:  Uma revisão sistemática da literatura foi realizada por dois revisores, com foco no manejo terapêutico do maléolo posterior.  Resultados:  foram obtidos 16 artigos clínicos com um total de 1029 pacientes, 8 estudos com nível de evidência II e 8 estudos com nível IV. As indicações cirúrgicas foram sistematizadas e os resultados e complicações funcionais foram analisados.  Conclusões:  O entendimento anatomopatológico dessas fraturas está aumentando a cada dia, principalmente devido ao uso habitual de tomografias computadorizadas. O tratamento cirúrgico do maléolo posterior mostra bons e excelentes resultados funcionais. Para uma decisão terapêutica adequada, certos fatores devem ser levados em consideração: instabilidade tibiotalar e sindesmótica, congruência articular e características morfológicas do maléolo posterior. A redução aberta e a fixação interna com placa de suporte é o tratamento que apresenta melhores resultados no curto e médio prazo, não encontrando estudos com acompanhamento a longo prazo.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[fracturas de tobillo (malla)]]></kwd>
<kwd lng="es"><![CDATA[fijación de fracturas (malla)]]></kwd>
<kwd lng="es"><![CDATA[maléolo posterior]]></kwd>
<kwd lng="es"><![CDATA[fracturas maleolares posteriores]]></kwd>
<kwd lng="es"><![CDATA[fracturas trimalleolares]]></kwd>
<kwd lng="es"><![CDATA[fijación interna.]]></kwd>
<kwd lng="en"><![CDATA[Ankle Fractures (Mesh)]]></kwd>
<kwd lng="en"><![CDATA[Fractures Fixation (Mesh)]]></kwd>
<kwd lng="en"><![CDATA[Posterior Malleolus]]></kwd>
<kwd lng="en"><![CDATA[Posterior Malleolar Fractures]]></kwd>
<kwd lng="en"><![CDATA[Trimalleolar Fractures]]></kwd>
<kwd lng="en"><![CDATA[Internal Fixation.]]></kwd>
<kwd lng="pt"><![CDATA[fraturas do tornozelo (malha)]]></kwd>
<kwd lng="pt"><![CDATA[fixação de fraturas (malha)]]></kwd>
<kwd lng="pt"><![CDATA[maléolo posterior]]></kwd>
<kwd lng="pt"><![CDATA[fraturas malleolares posteriores]]></kwd>
<kwd lng="pt"><![CDATA[fraturas trimalleolares]]></kwd>
<kwd lng="pt"><![CDATA[fixação interna]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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