<?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>S2301-12542022000101301</article-id>
<article-id pub-id-type="doi">10.25184/anfamed2022v9n1a6</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Luxaciones complejas de codo con inestabilidad póstero-lateral. ¿Cuáles son las mejores opciones de tratamiento? Revisión bibliográfica sistematizada.]]></article-title>
<article-title xml:lang="en"><![CDATA[Complex elbow dislocations with postero-lateral instability. What are the best treatment options? Systematized bibliographic review.]]></article-title>
<article-title xml:lang="pt"><![CDATA[Luxações complexas do cotovelo com instabilidade póstero-lateral. Quais são as melhores opções de tratamento? Revisão bibliográfica sistematizada.]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sierra]]></surname>
<given-names><![CDATA[Martín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Tamón]]></surname>
<given-names><![CDATA[Nicolás]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de la República Facultad de Medicina Clínica de Traumatología y Ortopedia]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de la República Facultad de Medicina Asistente de Clínica de Traumatología y Ortopedia]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2022</year>
</pub-date>
<volume>9</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S2301-12542022000101301&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S2301-12542022000101301&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S2301-12542022000101301&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: El 25% de las luxaciones de codo corresponden a luxaciones complejas, que se definen como aquellas luxaciones que se acompañan de lesiones óseas, siendo las mismas más inestables que la luxaciones puras o simples. Estas lesiones han planteado un importante desafío terapéutico, ya que históricamente se han obtenido pobres resultados funcionales. El objetivo de este trabajo es revisar la bibliografía acerca del tratamiento de las luxaciones complejas de codo con inestabilidad posterolateral, y valorar los resultados de las múltiples opciones terapéuticas.  Materiales y Métodos: Se realizó la búsqueda sistematizada utilizando el buscador PubMed, obteniéndose un total de 1450 artículos, de los cuales 32 cumplieron con los criterios de inclusión y exclusión establecidos.  Resultados: Los estudios analizados fueron de bajo nivel de evidencia, III o IV, correspondiendo en su mayoría a series de casos retrospectivos. Destaca la gran cantidad de variantes terapúticas existentes, con diferentes protocolos terapéuticos, que arrojan resultados funcionales similares.  Conclusiones: Las luxaciones complejas del codo corresponden a lesiones complejas, capaces de causar secuelas funcionales importantes en los pacientes. El establecimiento de protocolos terapéuticos es clave para obtener mejores resultados funcionales.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  25% of elbow dislocations correspond to complex dislocations, which are defined as those dislocations that are accompanied by bone injuries, being more unstable than pure or simple dislocations. These lesions have set an important therapeutic challenge, since historically poor functional results have been obtained. The objective of this study is to review the literature on the treatment of complex elbow dislocations with posterolateral instability, and to assess the results of the multiple therapeutic options.  Materials and Methods:  The systematized search was carried out using the Pubmed search engine, obtaining a total of 1450 articles, of which 32 met the established inclusion and exclusion criteria.  Results:  The studies analyzed were of a low level of evidence, III or IV, corresponding mostly to retrospective case series. The large number of existing therapeutic variants stands out, with different therapeutic protocols, which yield similar functional results.  Conclusions:  Complex elbow dislocations correspond to complex injuries, capable of causing important functional sequelae in patients. The establishment of therapeutic protocols is key to obtaining better functional results.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução:  25% das luxações do cotovelo correspondem a luxações complexas, que são definidas como aquelas luxações acompanhadas de lesões ósseas, sendo as mesmas mais instáveis &#8203;&#8203;que as luxações puras ou simples. Essas lesões representam um importante desafio terapêutico, uma vez que resultados funcionais historicamente ruins têm sido obtidos. O objetivo deste trabalho é revisar a literatura sobre o tratamento das luxações complexas do cotovelo com instabilidade póstero-lateral e avaliar os resultados das múltiplas opções terapêuticas.  Materiais e Métodos:  Foi realizada uma busca sistematizada por meio do mecanismo de busca PubMed, obtendo-se um total de 1450 artigos, dos quais 32 atenderam aos critérios de inclusão e exclusão estabelecidos.  Resultados:  Os estudos analisados &#8203;&#8203;foram de baixo nível de evidência, III ou IV, correspondendo em sua maioria a séries de casos retrospectivas. Destaca-se o grande número de variantes terapêuticas existentes, com diferentes protocolos terapêuticos, que apresentam resultados funcionais semelhantes.  Conclusões:  As luxações complexas do cotovelo correspondem a lesões complexas, capazes de causar sequelas funcionais importantes nos pacientes. O estabelecimento de protocolos terapêuticos é fundamental para obter melhores resultados funcionais.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Luxación compleja de codo]]></kwd>
<kwd lng="es"><![CDATA[inestabilidad posterolateral]]></kwd>
<kwd lng="en"><![CDATA[Complex elbow dislocation; posterolateral instability]]></kwd>
<kwd lng="pt"><![CDATA[Luxação complexa do cotovelo]]></kwd>
<kwd lng="pt"><![CDATA[instabilidade póstero-lateral]]></kwd>
</kwd-group>
</article-meta>
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