<?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>S2306-41022015000600323</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Reducción cerrada de la articulación sacroilíaca y reconstrucción acetabular en un paciente pediátrico con fractura inestable de pelvis Torode &amp; Zieg IVd. Reporte de un caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Closed reduction of the sacroiliac joint and acetabular reconstruction in a pediatric patient with a Torode/Zieg IVd unstable pelvic fracture. Case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Nieto-Lucio]]></surname>
<given-names><![CDATA[L.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Camarillo-Martínez]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Camacho-González]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ceja-Picazo]]></surname>
<given-names><![CDATA[SU.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez-Atanasio]]></surname>
<given-names><![CDATA[JM.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Hospital de Traumatología Unidad Médica de Alta Especialidad "Victorio de la Fuente Narváez"]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Hospital de Traumatología Servicio de Traumatología Pediátrica]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Hospital de Traumatología. Servicio de Cirugía de Cadera, Pelvis y Acetábulo]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Unidad Médica de Alta Especialidad "Victorio de la Fuente Narváez" ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidad Nacional Autónoma de México Dirección de Educación e Investigación ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2015</year>
</pub-date>
<volume>29</volume>
<numero>6</numero>
<fpage>323</fpage>
<lpage>327</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2306-41022015000600323&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2306-41022015000600323&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2306-41022015000600323&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Antecedentes:  Las lesiones pélvicas severas por alta energía en pacientes pediátricos son raras, y más, asociadas con fracturas acetabulares, siendo lesiones que ponen en riesgo la vida del niño.  Método:  Se presenta el caso de un individuo pediátrico con diagnóstico de fractura de pelvis Torode y Zieg tipo IVd con datos clínicos y radiográficos revisados retrospectivamente.  Caso clínico:  Niño de 12 años de edad politraumatizado, con fractura de pelvis inestable, tratado de manera multidisciplinaria. Se realizó estabilización en la unidad de terapia intensiva, laparotomía por el Servicio de Cirugía General, manejo ortopédico con reducción cerrada, fijación interna de la fractura-luxación sacroilíaca, con posterior reducción abierta y fijación interna de la fractura acetabular derecha; presentó adecuada evolución clínica.  Conclusiones:  El diagnóstico de una fractura de acetábulo Torode y Zieg IVd es una indicación absoluta de manejo quirúrgico. La atención multidisciplinaria es esencial para preservar la vida de los sujetos con lesiones de pelvis inestable. Este caso muestra la complejidad de una fractura pélvica inestable asociada con múltiples lesiones debido a un mecanismo poco frecuente (aplastamiento por un árbol) en un paciente con un sistema esquelético inmaduro.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Background: High-energy severe pelvic injuries in pediatric patients are rare, particularly those associated with acetabular fractures. They are life threatening injuries.  Method:  We report the case of a pediatric patient with a diagnosis of a Torode/Zieg IVd pelvic fracture. The clinical and radiographic data was reviewed retrospectively.  Clinical case:  Male, 12 year-old polytraumatized patient with an unstable pelvic fracture who underwent multidisciplinary treatment. He was stabilized in the intensive care unit; the general surgery service performed laparotomy; orthopedic management consisted of closed reduction and internal fixation of the sacroiliac fracture-dislocation and later of open reduction and internal fixation of the right acetabular fracture. The patient´s clinical course was appropriate.  Conclusions:  A diagnosis of a type IVd Torode/Zieg fracture is an absolute indication for surgical management. A multidisciplinary approach is essential to save the life of patients with unstable pelvic lesions. This case shows the complexity of an unstable pelvic fracture associated with multiple injuries, due to a rather infrequent mechanism of injury (being crushed by a tree) in a patient with an immature skeletal system.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Fractura de acetábulo]]></kwd>
<kwd lng="es"><![CDATA[articulación sacroilíaca]]></kwd>
<kwd lng="es"><![CDATA[múltiple trauma]]></kwd>
<kwd lng="es"><![CDATA[fijación interna]]></kwd>
<kwd lng="es"><![CDATA[paciente pediátrico]]></kwd>
<kwd lng="en"><![CDATA[Acetabular fracture]]></kwd>
<kwd lng="en"><![CDATA[sacroiliac joint]]></kwd>
<kwd lng="en"><![CDATA[multiple trauma]]></kwd>
<kwd lng="en"><![CDATA[internal fixation]]></kwd>
<kwd lng="en"><![CDATA[pediatric patient]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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