<?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>1870-7203</journal-id>
<journal-title><![CDATA[Acta médica Grupo Ángeles]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd. Grupo Ángeles]]></abbrev-journal-title>
<issn>1870-7203</issn>
<publisher>
<publisher-name><![CDATA[Grupo Ángeles, Servicios de Salud]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1870-72032016000300136</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Fijación externa en fracturas articulares de radio distal en mujeres mayores de 65 años]]></article-title>
<article-title xml:lang="en"><![CDATA[External fixation of distal articular radius fractures in women upper 65 years old]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández Gómez]]></surname>
<given-names><![CDATA[Clemente]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Salas Morales]]></surname>
<given-names><![CDATA[Guillermo Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Reyes]]></surname>
<given-names><![CDATA[Erika Judith]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Hospital General Regional 2 C/UMAA &#8220;Villa Coapa&#8221; ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Hospital General Regional 2 C/UMAA &#8220;Villa Coapa&#8221; ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2016</year>
</pub-date>
<volume>14</volume>
<numero>3</numero>
<fpage>136</fpage>
<lpage>142</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1870-72032016000300136&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1870-72032016000300136&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1870-72032016000300136&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Antecedentes: La fractura del radio representa de 17 a 20% del total de lesiones óseas atendidas en las salas de urgencias, siendo ésta la más frecuente en la extremidad torácica, con incidencia de 100-350/100,000 casos por año.  Objetivo: Determinar si la adición de clavillos interfragmentarios a la fijación externa es factor que incremente la probabilidad de obtener un mejor resultado funcional.  Material y métodos: Estudio descriptivo, observacional y transversal, de enero a diciembre de 2012, se incluyeron resultados quirúrgicos de las fracturas de radio distal clasificación AO23C1 en 27 mujeres &gt; 65 años tratadas mediante fijación externa con y sin adición de clavillos.  Resultados:  Para el grupo de pacientes con adición de clavillos 87.5% (n = 14) se obtuvieron buenos resultados y 12.5% (n = 2) malos resultados; para el grupo sin adición de clavillos 90.90% (n = 10) alcanzaron buenos resultados y 9.09% (n = 1) malos resultados.  Conclusiones:  La adición o exclusión de clavillos en el manejo de fractura distal del radio tratado con fijador externo no fue estadísticamente significativa.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Background: Radius fracture represents 17-20% of total injuries treated in emergency rooms, being the most common fracture of upper extremity with incidence of 100-350/100,000 cases per year.  Objective: To determine if external fixation with supplementary interfragmentary Kirschner wires results into a better functional result.  Material and methods: Descriptive, observational, transverse study, from January to December 2012, including surgery results of distal radius fracture clasification AO23C1 in women upper of 65 years old treated with external fixation with or without supplementary wires.  Results:  for the group of patients with supplementary wires 87.5% (n = 14) observed good results, and 12.5% (n = 2) bad ones; for the group without supplementary wires 90.90% (n = 10) observed good results, and 9.09% (n = 1) bad one.  Conclusions:  Adding supplementary wires to external fixation is not statistically significant.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Fractura de radio distal]]></kwd>
<kwd lng="es"><![CDATA[tratamiento de fractura de radio]]></kwd>
<kwd lng="es"><![CDATA[tratamiento de fracturas en mujeres mayores de 65 años]]></kwd>
<kwd lng="en"><![CDATA[Radius fracture]]></kwd>
<kwd lng="en"><![CDATA[treatment of radius fracture]]></kwd>
<kwd lng="en"><![CDATA[treatment of radius fracture in older women]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[De Moulin]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Fracture of the lower end of the radius: an obscure injury for many centuries]]></article-title>
<source><![CDATA[Arch Chir Neerl]]></source>
<year>1977</year>
<volume>29</volume>
<page-range>213-6</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Serrano de la Cruz]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Fracturas distales de radio. Clasificación y tratamiento conservador]]></article-title>
<source><![CDATA[Revista Española de Cirugía Osteoarticular]]></source>
<year>2008</year>
<volume>46</volume>
<page-range>141-54</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Handoll]]></surname>
<given-names><![CDATA[HH]]></given-names>
</name>
<name>
<surname><![CDATA[Huntley]]></surname>
<given-names><![CDATA[JS]]></given-names>
</name>
<name>
<surname><![CDATA[Madhok]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[External fixation versus conservative treatment for distal radial fractures in adults]]></article-title>
<source><![CDATA[Cochrane Database Syst Rev]]></source>
<year>2007</year>
<volume>18</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>CD006194</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Young]]></surname>
<given-names><![CDATA[BT]]></given-names>
</name>
<name>
<surname><![CDATA[Rayan]]></surname>
<given-names><![CDATA[GM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Outcome following nonoperative treatment of displaced distal radius fractures in low-demand patients older than 60 years]]></article-title>
<source><![CDATA[J Hand Surg Am]]></source>
<year>2000</year>
<volume>25</volume>
<page-range>19-28</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Green]]></surname>
<given-names><![CDATA[DP]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Fracturas del extremo distal del radio]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Fernández]]></surname>
<given-names><![CDATA[DL]]></given-names>
</name>
<name>
<surname><![CDATA[Wolfe]]></surname>
<given-names><![CDATA[SW]]></given-names>
</name>
</person-group>
<source><![CDATA[Green&#8217;s operative hand surgery]]></source>
<year>2007</year>
<edition>5</edition>
<page-range>645-710</page-range><publisher-loc><![CDATA[Madrid España ]]></publisher-loc>
<publisher-name><![CDATA[Editorial Marbán]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Weil]]></surname>
<given-names><![CDATA[WM]]></given-names>
</name>
<name>
<surname><![CDATA[Trumble]]></surname>
<given-names><![CDATA[TE]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Treatment of articular distal radial fractures by intrafocal pinning with arum pins]]></article-title>
<source><![CDATA[Hand Clinics]]></source>
<year>2005</year>
<volume>21</volume>
<page-range>317-28</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Metha]]></surname>
<given-names><![CDATA[SP]]></given-names>
</name>
<name>
<surname><![CDATA[McDermid]]></surname>
<given-names><![CDATA[JC]]></given-names>
</name>
<name>
<surname><![CDATA[Richardson]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A systematic review of the measurement properties of the patient-rated wrist evaluation]]></article-title>
<source><![CDATA[J Orthop Sports Phys Ther]]></source>
<year>2015</year>
<volume>45</volume>
<page-range>289-98</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Amorosa]]></surname>
<given-names><![CDATA[LF]]></given-names>
</name>
<name>
<surname><![CDATA[Vitale]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Brown]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A functional outcomes survey of elderly patients who sustained distal radius fractures]]></article-title>
<source><![CDATA[Hand]]></source>
<year>2011</year>
<volume>6</volume>
<page-range>260-7</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Diaz-Garcia]]></surname>
<given-names><![CDATA[RJ]]></given-names>
</name>
<name>
<surname><![CDATA[Oda]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Shauver]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A systematic review of outcomes and complications of treating unstable distal radius fractures in the elderly]]></article-title>
<source><![CDATA[J Hand Surg Am]]></source>
<year>2011</year>
<volume>36</volume>
<page-range>824-35</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sigurdardottir]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Halldorsson]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Robertsson]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Epidemiology and treatment of distal radius fractures in Reykjavik, Iceland in 2004: Comparison with an Icelandic study from 1985]]></article-title>
<source><![CDATA[Acta Orthop]]></source>
<year>2011</year>
<volume>82</volume>
<page-range>494-8</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lin]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Sun]]></surname>
<given-names><![CDATA[JS]]></given-names>
</name>
<name>
<surname><![CDATA[Hou]]></surname>
<given-names><![CDATA[SM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[External fixation with or without supplementary intramedullary Kirschner wires in the treatment of distal radial fractures]]></article-title>
<source><![CDATA[Can J Surg]]></source>
<year>2004</year>
<volume>47</volume>
<page-range>431-7</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Nana]]></surname>
<given-names><![CDATA[AD]]></given-names>
</name>
<name>
<surname><![CDATA[Joshi]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Litchman]]></surname>
<given-names><![CDATA[DM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Plating of the distal radius]]></article-title>
<source><![CDATA[J Am Acad Orthop Surg]]></source>
<year>2005</year>
<volume>13</volume>
<page-range>159-71</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Jupiter]]></surname>
<given-names><![CDATA[JB]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Complex articular fractures of the distal radius: Classification and management]]></article-title>
<source><![CDATA[J Am Acad Orthop Surg]]></source>
<year>1997</year>
<volume>5</volume>
<page-range>119-29</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gausepohl]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Pennig]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Mader]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Principles of external fixation and supplementary techniques in distal radius fractures]]></article-title>
<source><![CDATA[Injury]]></source>
<year>2000</year>
<volume>31</volume>
<page-range>56-70</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Blackeney]]></surname>
<given-names><![CDATA[WG]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Stabilization and treatment of Colle&#8217;s fractures in elderly patients]]></article-title>
<source><![CDATA[Clin Interv Aging]]></source>
<year>2010</year>
<volume>5</volume>
<page-range>337-44</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fernandez]]></surname>
<given-names><![CDATA[DL]]></given-names>
</name>
<name>
<surname><![CDATA[Geissler]]></surname>
<given-names><![CDATA[WB]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Treatment of displaced articular fractures of the radius]]></article-title>
<source><![CDATA[J Hand Surg Am]]></source>
<year>1991</year>
<volume>16</volume>
<page-range>375-84</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Valenzuela]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Fuentes]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Zárate]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[¿Qué hay de nuevo en el tratamiento de las fracturas de radio distal?]]></article-title>
<source><![CDATA[Revista Boliviana de Ortopedia y Traumatología]]></source>
<year>2007</year>
<volume>17</volume>
<page-range>4-13</page-range></nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Egol]]></surname>
<given-names><![CDATA[KA]]></given-names>
</name>
<name>
<surname><![CDATA[Paksima]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Puopolo]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Treatment of external fixation pins about the wrist: A prospective, randomized trial]]></article-title>
<source><![CDATA[J Bone Joint Surg Am]]></source>
<year>2006</year>
<volume>88</volume>
<page-range>349-54</page-range></nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Synn]]></surname>
<given-names><![CDATA[AJ]]></given-names>
</name>
<name>
<surname><![CDATA[Makhni]]></surname>
<given-names><![CDATA[BS]]></given-names>
</name>
<name>
<surname><![CDATA[Makhni]]></surname>
<given-names><![CDATA[MC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Distal radius fractures in older patients: Is anatomic reduction necessary?]]></article-title>
<source><![CDATA[Clin Orthop Relat Res]]></source>
<year>2009</year>
<volume>467</volume>
<page-range>1612-20</page-range></nlm-citation>
</ref>
<ref id="B20">
<label>20</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[McQueen]]></surname>
<given-names><![CDATA[MM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Redisplaced unstable fractures of the distal radius. A randomised, prospective study of bridging versus non-bridging external fixation]]></article-title>
<source><![CDATA[J Bone Joint Surg]]></source>
<year>1998</year>
<volume>80</volume>
<page-range>665-9</page-range></nlm-citation>
</ref>
<ref id="B21">
<label>21</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rangel]]></surname>
<given-names><![CDATA[RR]]></given-names>
</name>
<name>
<surname><![CDATA[Durán]]></surname>
<given-names><![CDATA[MN]]></given-names>
</name>
<name>
<surname><![CDATA[Matus]]></surname>
<given-names><![CDATA[JJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Evaluación clínico-radiológica de fracturas distales de radio tratadas con técnica percutánea]]></article-title>
<source><![CDATA[Acta Ortopédica Mexicana]]></source>
<year>2010</year>
<volume>24</volume>
<page-range>169-76</page-range></nlm-citation>
</ref>
<ref id="B22">
<label>22</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Slutsky]]></surname>
<given-names><![CDATA[DJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[External fixation of distal radial fractures]]></article-title>
<source><![CDATA[J Hand Surg Am]]></source>
<year>2007</year>
<volume>32</volume>
<page-range>1624-37</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
