<?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>S2306-41022021000100017</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Artroplastía total de cadera no cementada por abordaje anterior. Reporte de los primeros 50 casos]]></article-title>
<article-title xml:lang="en"><![CDATA[Uncemented total hip arthroplasty by anterior approach. Report of the first 50 cases]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández-Palomo]]></surname>
<given-names><![CDATA[LJ]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Médico ABC  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>02</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>02</month>
<year>2021</year>
</pub-date>
<volume>35</volume>
<numero>1</numero>
<fpage>17</fpage>
<lpage>22</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2306-41022021000100017&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2306-41022021000100017&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2306-41022021000100017&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  El abordaje anterior directo de cadera se ha popularizado en estos últimos años, ya que favorece una rápida recuperación y mejor evolución, así como reducción en tiempo de estancia hospitalaria, en consumo de analgésicos, requerimiento de terapia física y con todo ello un posible costo en general disminuido. Se reportan resultados de los 50 primeros casos usando esta técnica, auxiliada del uso de una mesa especial de tracción.  Material y métodos:  Estudio retrospectivo de 50 artroplastías de cadera, mismo implante en 47 pacientes mediante el citado abordaje y utilizando dicha mesa, entre Abril de 2018 y Abril de 2020. Se registraron etiología, género, edad y lado afectado, tiempo quirúrgico, sangrado transoperatorio y tamaño de los implantes. Se evaluó el progreso clínico y radiográfico inmediatos y en los 90 días iniciales.  Resultados:  Muestra de 18 varones y 29 mujeres. La media de edad fue 67.7 años (rango de 28 a 94). Lapso quirúrgico promedio dos horas 37 minutos, sangrado promedio 513 ml, evolución clínica de acuerdo a escala de Harris: excelente 42 (84%), bueno siete (14%), malo uno (2%) por infección. Se presentaron un par de fracturas de calcar sin necesidad de retirar implante, ocho casos de lesión de masa muscular, hematoma en cuatro (8%), paresia del nervio femorocutáneo en seis (12%), infección superficial en dos (4%). No se presentaron luxaciones.  Conclusión:  El abordaje anterior es una técnica segura y confiable con consecuencias inmediatas satisfactorias y complicaciones menores.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  The anterior direct approach to the hip has become popular in recent years, as it favors rapid recovery and better evolution, as well as shorter hospital stay time, painkiller consumption, physical therapy requirement and thus a possible overall reduced cost. The results of the first 50 cases are reported, with this technique assisted by the use of a special traction Table.  Material and methods:  Retrospective study of 50 hip arthroplasties in 47 patients by said method and special Table, between April 2018 and April 2020. Etiology, gender, affected age and side, surgical lapse, transoperative bleeding and implant size were recorded. Immediate clinical and radiographic evolution was evaluated at the start and during the first 90 days.  Results:  Sample of 18 men and 29 women. The average age was 67.7 years (range 28 to 94). Mean surgical time two hours 37 minutes, average bleeding 513 ml, clinical progress according to Harris scale: excellent 42 (84%), seven good (14%) and one bad (2%), due to infection. There were two calcar fractures without the need to remove an implant, eight cases of muscle mass injury, bruising in four (8%), femorocutaneous nerve paresis in six (12%), superficial infection two cases (4%). No dislocations.  Conclusion:  The anterior approach is a safe and reliable technique with immediate satisfactory outcomes and minor complications.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Artroplastía total de cadera]]></kwd>
<kwd lng="es"><![CDATA[abordaje anterior]]></kwd>
<kwd lng="es"><![CDATA[mesa de tracción]]></kwd>
<kwd lng="es"><![CDATA[mínima invasión]]></kwd>
<kwd lng="en"><![CDATA[Total hip arthroplasty]]></kwd>
<kwd lng="en"><![CDATA[anterior approach]]></kwd>
<kwd lng="en"><![CDATA[special Table]]></kwd>
<kwd lng="en"><![CDATA[minimally invasive]]></kwd>
</kwd-group>
</article-meta>
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