<?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>S2306-41022016000500251</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Artroscopía del tobillo en el tratamiento de la fractura de Bosworth]]></article-title>
<article-title xml:lang="en"><![CDATA[Ankle arthroscopy in treatment of Bosworth fracture]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Saraiva]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pereira]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sarmento]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lemos]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Oliva]]></surname>
<given-names><![CDATA[XM]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Hospitalar Vila Nova de Gaia/Espinho Servicio de Ortopedia y Traumatología ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro Hospitalar Vila Nova de Gaia/Espinho Servicio de Ortopedia y Traumatología ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Centro Hospitalar Vila Nova de Gaia/Espinho  ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad de Barcelona Clínica del Remei Departamento de Anatomía]]></institution>
<addr-line><![CDATA[Barcelona ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2016</year>
</pub-date>
<volume>30</volume>
<numero>5</numero>
<fpage>251</fpage>
<lpage>255</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2306-41022016000500251&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2306-41022016000500251&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2306-41022016000500251&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: La fractura de Bosworth corresponde a un patrón de fractura-luxación del tobillo con luxación fija del segmento proximal de la fíbula posterior al maléolo posterior de la tibia. Es una lesión poco frecuente que requiere un alto índice de sospecha para su diagnóstico. La luxación fija de la fíbula impide la reducción cerrada, por lo que se impone una reducción abierta y la osteosíntesis de los fragmentos de fíbula y/o tibia. Presentamos un caso clínico de una paciente que sufrió esta lesión asociada a fractura del maléolo interno; fue sometida a tratamiento quirúrgico, asimismo se procedió a la artroscopía anterior del tobillo para evaluar la estabilidad de la sindesmosis, exéresis de fragmentos osteocondrales libres, desbridamiento y microfracturas de lesiones condrales inestables del astrágalo. Un año después la paciente permanece con dolor residual ocasional y un rango de movimiento normal comparado con el tobillo contralateral. La fractura de Bosworth es una lesión grave y poco frecuente que requiere un diagnóstico precoz y tratamiento quirúrgico urgente. La utilización de la artroscopía en su tratamiento agudo permite el diagnóstico y tratamiento de la patología intraarticular asociada y asiste en la evaluación de la reducción adecuada de la fractura y de la estabilidad de la sindesmosis tibiofibular.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: The Bosworth fracture is a pattern of fracture-dislocation of the ankle joint with fixed dislocation of the proximal part of the fibula behind the posterior malleolus. It is a rare injury, which requires high index of suspicion for diagnosis. Fixed dislocation of the fibula does not allow for closed reduction, so open reduction and fixation of fibula or tibia is required. We present a case report of a patient who suffered a Bosworth fracture, with associated medial malleolus fracture. She underwent surgical treatment with open reduction and internal fixation of the fibula and tibia. We also performed anterior arthroscopy of the ankle, to evaluate the tibiofibular syndesmosis, remove loose osteochondral fragments, and perform debridement and microfracture of unstable chondral lesions of the talus. One year after injury, she remains with occasional pain and a normal range of motion comparing to the contralateral ankle joint. Bosworth fracture is a serious and rare injury, which requires early diagnosis and urgent surgical treatment. Performing ankle arthroscopy in the acute treatment of the Bosworth fracture allows for diagnosis and treatment of associated intra-articular injuries, as well as assisting with adequate fracture reduction and evaluation of the tibiofibular syndesmosis stability.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Artroscopía]]></kwd>
<kwd lng="es"><![CDATA[tobillo]]></kwd>
<kwd lng="es"><![CDATA[fractura]]></kwd>
<kwd lng="es"><![CDATA[Bosworth]]></kwd>
<kwd lng="en"><![CDATA[Arthroscopy]]></kwd>
<kwd lng="en"><![CDATA[ankle]]></kwd>
<kwd lng="en"><![CDATA[fracture]]></kwd>
<kwd lng="en"><![CDATA[Bosworth]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Fracture-dislocation of the ankle with fixed displacement of the fibula behind the tibia]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bosworth]]></surname>
<given-names><![CDATA[DM]]></given-names>
</name>
</person-group>
<source><![CDATA[J Bone Joint Surg Am]]></source>
<year>1947</year>
<volume>29</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>130-5</page-range></nlm-citation>
</ref>
<ref id="B2">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Posterior fracture-dislocation of the distal part of the fibula Mechanism and staging of injury]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Perry]]></surname>
<given-names><![CDATA[CR]]></given-names>
</name>
<name>
<surname><![CDATA[Rice]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Rao]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Burge]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<source><![CDATA[J Bone Joint Surg Am]]></source>
<year>1983</year>
<volume>65</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>1149-57</page-range></nlm-citation>
</ref>
<ref id="B3">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[An irreducible ankle fracture dislocation the Bosworth injury]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Schepers]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Hagenaars]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Den Hartog]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<source><![CDATA[J Foot Ankle Surg]]></source>
<year>2012</year>
<volume>51</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>501-3</page-range></nlm-citation>
</ref>
<ref id="B4">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Bosworth-type fibular entrapment injuries of the ankle the Bosworth lesion. A report of 6 cases and literature review]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bartonícek]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Fric]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Svatos]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Lunácek]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<source><![CDATA[J Orthop Trauma]]></source>
<year>2007</year>
<volume>21</volume>
<numero>10</numero>
<issue>10</issue>
<page-range>710-7</page-range></nlm-citation>
</ref>
<ref id="B5">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Bosworth fracture-dislocation and resultant compartment syndrome. A case report]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Beekman]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Watson]]></surname>
<given-names><![CDATA[JT]]></given-names>
</name>
</person-group>
<source><![CDATA[J Bone Joint Surg Am]]></source>
<year>2003</year>
<volume>85</volume>
<numero>11</numero>
<issue>11</issue>
<page-range>2211-4</page-range></nlm-citation>
</ref>
<ref id="B6">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Vascular impairment as a result of fracture-dislocation of the ankle]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Tipton]]></surname>
<given-names><![CDATA[WW]]></given-names>
</name>
<name>
<surname><![CDATA[D'Ambrosia]]></surname>
<given-names><![CDATA[RD]]></given-names>
</name>
</person-group>
<source><![CDATA[J Trauma]]></source>
<year>1975</year>
<volume>15</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>524-7</page-range></nlm-citation>
</ref>
<ref id="B7">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Ankle stiffness after Bosworth fracture dislocation of the ankle]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lui]]></surname>
<given-names><![CDATA[TH]]></given-names>
</name>
<name>
<surname><![CDATA[Chan]]></surname>
<given-names><![CDATA[KB]]></given-names>
</name>
<name>
<surname><![CDATA[Kong]]></surname>
<given-names><![CDATA[CC]]></given-names>
</name>
<name>
<surname><![CDATA[Ngai]]></surname>
<given-names><![CDATA[WK]]></given-names>
</name>
</person-group>
<source><![CDATA[Arch Orthop Trauma Surg]]></source>
<year>2008</year>
<volume>128</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>49-53</page-range></nlm-citation>
</ref>
<ref id="B8">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Long-term outcome after 1822 operatively treated ankle fractures a systematic review of the literature]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Stufkens]]></surname>
<given-names><![CDATA[SA]]></given-names>
</name>
<name>
<surname><![CDATA[van den Bekerom]]></surname>
<given-names><![CDATA[MP]]></given-names>
</name>
<name>
<surname><![CDATA[Kerkhoffs]]></surname>
<given-names><![CDATA[GM]]></given-names>
</name>
<name>
<surname><![CDATA[Hintermann]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[van Dijk]]></surname>
<given-names><![CDATA[CN]]></given-names>
</name>
</person-group>
<source><![CDATA[Injury]]></source>
<year>2011</year>
<volume>42</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>119-27</page-range></nlm-citation>
</ref>
<ref id="B9">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Arthroscopic findings in acute fractures of the ankle]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hintermann]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Regazzoni]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Lampert]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Stutz]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Gachter]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<source><![CDATA[J Bone Joint Surg Br]]></source>
<year>2000</year>
<volume>82</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>345-51</page-range></nlm-citation>
</ref>
<ref id="B10">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Ankle arthroscopy for ankle fractures]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sherman]]></surname>
<given-names><![CDATA[TI]]></given-names>
</name>
<name>
<surname><![CDATA[Casscells]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Rabe]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[McGuigan]]></surname>
<given-names><![CDATA[FX]]></given-names>
</name>
</person-group>
<source><![CDATA[Arthrosc Tech]]></source>
<year>2015</year>
<volume>4</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>75-9</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
