<?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>S2306-41022025000100027</article-id>
<article-id pub-id-type="doi">10.35366/118849</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Series of 41 cases of necrotizing fasciitis in a tertiary level hospital. Is as deadly as we think? LRINEC scale is useful today?]]></article-title>
<article-title xml:lang="es"><![CDATA[Serie de 41 casos de fascitis necrotizante en un hospital de tercer nivel. ¿Es tan mortal como pensamos? ¿Es útil hoy en día la escala LRINEC?]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez-Roiz]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Quironsalud Badalona Department of Orthopedic and Trauma Surgery ]]></institution>
<addr-line><![CDATA[Barcelona ]]></addr-line>
<country>Spain</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>02</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>02</month>
<year>2025</year>
</pub-date>
<volume>39</volume>
<numero>1</numero>
<fpage>27</fpage>
<lpage>31</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2306-41022025000100027&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2306-41022025000100027&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2306-41022025000100027&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  necrotizing fasciitis (NF) is a rare soft tissue infection that leads to sepsis and death without an early surgical treatment. LRINEC (laboratory risk indicator for necrotizing fasciitis) scale is one of the most accepted tests for diagnosis. This study presents a retrospective evaluation of the usefulness of the LRINEC scale in the diagnosis and prognosis of NF.  Material and methods:  retrospective study of 41 cases of NF in extremities between 2010 and 2019. Based on the score obtained on the LRINEC scale the cases were assigned to: LRINEC lower than 5 in Group 1 with 12 cases, score 6 or 7 in Group 2 also 12 cases, and finally score of 8 or above in Group 3, 17 cases.  Results:  the mean LRINEC score was 7.04 (range: 1-13). 30 patients (73%) had scores above 6, the threshold for suspicion of NF. The mean mortality rate was 26.8%, and was highest in group 3 (5 deaths). The mean amputation rate was 17% (seven patients).  Conclusions:  the LRINEC may facilitate early diagnosis, but as we see in our study its main strength is its ability to assess the severity of the septic process and therefore to provide a prognosis.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  la fascitis necrotizante (NF) es una rara infección de tejidos blandos que conduce a sepsis y muerte sin un tratamiento quirúrgico temprano. La escala LRINEC (laboratory risk indicator for necrotizing fasciitis) es una de las pruebas más aceptadas para el diagnóstico. Este estudio presenta una evaluación retrospectiva de la utilidad de la escala LRINEC en el diagnóstico y pronóstico de la NF.  Material y métodos:  estudio retrospectivo de 41 casos de NF en extremidades entre 2010 y 2019. Según la puntuación obtenida en la escala LRINEC los casos fueron asignados a: LRINEC inferior a 5 en el grupo 1 con 12 casos, puntuación 6 o 7 en el grupo 2 también 12 casos, y finalmente puntuación de ocho o más en el grupo 3, 17 casos.  Resultados:  la puntuación media de LRINEC fue de 7.04 (rango: 1-13). Treinta pacientes (73%) tenían puntuaciones superiores a 6, umbral de sospecha de NF. La tasa de mortalidad promedio fue de 26.8%, y fue más alta en el grupo 3 (cinco muertes). La tasa media de amputaciones fue de 17% (siete pacientes).  Conclusiones:  el LRINEC puede facilitar el diagnóstico precoz, pero como vemos en nuestro estudio su principal fortaleza es su capacidad para evaluar la gravedad del proceso séptico y, por tanto, proporcionar un pronóstico.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[laboratory risk indicator for necrotizing fasciitis]]></kwd>
<kwd lng="en"><![CDATA[sepsis]]></kwd>
<kwd lng="en"><![CDATA[necrotizing fasciitis]]></kwd>
<kwd lng="en"><![CDATA[surgical debridement]]></kwd>
<kwd lng="en"><![CDATA[necrosis]]></kwd>
<kwd lng="es"><![CDATA[indicador de riesgo de laboratorio para fascitis necrotizante]]></kwd>
<kwd lng="es"><![CDATA[septicemia]]></kwd>
<kwd lng="es"><![CDATA[fascitis necrotizante]]></kwd>
<kwd lng="es"><![CDATA[des-bridamiento quirúrgico]]></kwd>
<kwd lng="es"><![CDATA[necrosis]]></kwd>
</kwd-group>
</article-meta>
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