<?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>2306-4102</journal-id>
<journal-title><![CDATA[Acta ortopédica mexicana]]></journal-title>
<abbrev-journal-title><![CDATA[Acta ortop. mex]]></abbrev-journal-title>
<issn>2306-4102</issn>
<publisher>
<publisher-name><![CDATA[Colegio Mexicano de Ortopedia y Traumatología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2306-41022019000400252</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Artroplastía total de codo en un paciente adulto mayor como opción terapéutica para el manejo de seudoartrosis en fractura de húmero distal]]></article-title>
<article-title xml:lang="en"><![CDATA[Total elbow arthroplasty in an older adult patient, as a therapeutic option for the management of pseudoarthrosis in distal humerus fracture]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Osma-Rueda]]></surname>
<given-names><![CDATA[JL]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Amaya-Mujica]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Industrial de Santander  ]]></institution>
<addr-line><![CDATA[Bucaramanga ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Industrial de Santander, Bucaramanga  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2019</year>
</pub-date>
<volume>33</volume>
<numero>4</numero>
<fpage>252</fpage>
<lpage>255</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2306-41022019000400252&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2306-41022019000400252&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2306-41022019000400252&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  Las fracturas de húmero distal en el adulto mayor constituyen un desafío terapéutico para ortopedistas, debido a las condiciones fisiológicas y los cambios óseos propios de esta edad.  Reporte de caso:  Se presenta el caso de una mujer de 80 años con osteopenia, quien sufrió una caída de su propia altura con fractura de húmero distal derecho, inicialmente se le dio manejo conservador, pero debido al desarrollo de seudoartrosis, se decidió hacer una artroplastía total de codo, con buenos resultados funcionales en el seguimiento postoperatorio a cuatro años.  Discusión:  En las fracturas de húmero distal, el manejo no quirúrgico es una opción en pacientes con baja demanda funcional o que tengan un mal estado general, y si no es el caso o fracasa el manejo conservador, deben ser llevados a artroplastía total de codo, ya que ésta proporciona una rápida recuperación del paciente en comparación con la reducción abierta y el manejo con material de osteosíntesis.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  Distal humeral fractures in the elderly patient are a therapeutic challenge for orthopaedists, because of age&#8217;s characteristic physiological conditions and bone changes.  Case report:  We present the case of an 80-year-old woman with osteopenia, who had distal humeral fracture due to a fall from her own height; she was initially treated conservatively, but by the reason of a non-union, we decided to perform a total elbow arthroplasty, achieving a positive functional result in the four years of postoperative follow-up.  Discussion:  Nonsurgical management is an option for treat humeral fractures in patients with low functional demands or in poor general condition. If the patient does not present the conditions above, or if nonsurgical management fails, a total elbow arthroplasty must be performed, because this method provides a rapid recovering if compared to an open reduction and osteosynthesis material management.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Artroplastía total]]></kwd>
<kwd lng="es"><![CDATA[codo]]></kwd>
<kwd lng="es"><![CDATA[fractura húmero]]></kwd>
<kwd lng="es"><![CDATA[osteosíntesis]]></kwd>
<kwd lng="en"><![CDATA[Total arthroplasty]]></kwd>
<kwd lng="en"><![CDATA[elbow]]></kwd>
<kwd lng="en"><![CDATA[humeral fractures]]></kwd>
<kwd lng="en"><![CDATA[osteosynthesis]]></kwd>
</kwd-group>
</article-meta>
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