<?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>S2306-41022025000500267</article-id>
<article-id pub-id-type="doi">10.35366/121073</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Artroplastía total de rodilla cementada con inserto móvil como tratamiento de gonartrosis primaria: ¿es una opción sólida de tratamiento? Seguimiento a largo plazo]]></article-title>
<article-title xml:lang="en"><![CDATA[Cemented total knee arthroplasty with mobile bearing for the treatment of primary gonarthrosis: is it a solid treatment option? Long-term follow-up]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramos-Murillo]]></surname>
<given-names><![CDATA[DA]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramos-Guarderas]]></surname>
<given-names><![CDATA[PA]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arteaga-Guerrero]]></surname>
<given-names><![CDATA[GF]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vargas-Morante]]></surname>
<given-names><![CDATA[MX]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramos-Murillo]]></surname>
<given-names><![CDATA[PD]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Peñaherrera-Carrillo]]></surname>
<given-names><![CDATA[CP]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Endara-Uresta]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barros-Castro]]></surname>
<given-names><![CDATA[AX]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vaca-Pérez]]></surname>
<given-names><![CDATA[PS]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad El Bosque  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Clínica Arthros  ]]></institution>
<addr-line><![CDATA[Quito ]]></addr-line>
<country>Ecuador</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Vozandez Clínica Arthros ]]></institution>
<addr-line><![CDATA[Quito ]]></addr-line>
<country>Ecuador</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Vozandes Clínica Arthros ]]></institution>
<addr-line><![CDATA[Quito ]]></addr-line>
<country>Ecuador</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Olympia-Quironsalud  ]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Universidad Nacional Autónoma de México Hospital LGII ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af7">
<institution><![CDATA[,Clínica Arthros  ]]></institution>
<addr-line><![CDATA[Quito ]]></addr-line>
<country>Ecuador</country>
</aff>
<aff id="Af8">
<institution><![CDATA[,Universidad Internacional del Ecuador  ]]></institution>
<addr-line><![CDATA[Quito ]]></addr-line>
<country>Ecuador</country>
</aff>
<aff id="Af9">
<institution><![CDATA[,Universidad Internacional del Ecuador  ]]></institution>
<addr-line><![CDATA[Quito ]]></addr-line>
<country>Ecuador</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2025</year>
</pub-date>
<volume>39</volume>
<numero>5</numero>
<fpage>267</fpage>
<lpage>272</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2306-41022025000500267&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2306-41022025000500267&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2306-41022025000500267&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  la artroplastía total de rodilla (ATR) es una de las intervenciones ortopédicas más frecuentemente realizadas en el mundo, con más de 700,000 procedimientos primarios realizados en 2013. El siguiente estudio tiene como objetivo demostrar que la ATR con componentes cementados con inserto móvil es una opción sólida de tratamiento con bajas tasas de complicaciones, buenos resultados clínicos y adecuada supervivencia a largo plazo.  Materiales y métodos:  estudio retrospectivo donde se incluyeron 890 casos en 810 pacientes con diagnóstico de gonartrosis grado IV, la edad media fue de 67.80 años, con seguimiento medio de 12.5 años. El reemplazo articular se realizó mediante el abordaje de Langenbeck. La valoración fue radiológica y funcional mediante las escalas de: American Knee Society Score (AKSS) y Oxford Knee Score (OKS) para demostrar resultados a largo plazo.  Resultados:  el AKSS clínico prequirúrgico fue de 58.7 y a los 14 años de 94.4 puntos; AKSS prequirúrgico de 56.73 y a los 14 años 72.5 puntos y la OKS prequirúrgico fue de 26.77 y a los 14 años de 44.2 puntos, con una tasa acumulada de supervivencia de 98.0% a los 14 años, utilizando la revisión por cualquier motivo como el punto final primario.  Conclusión:  la ATR con inserto móvil en tratamiento de gonartrosis grado IV muestra resultados funcionales favorables, con tasas de supervivencia elevadas a largo plazo y bajas tasas de complicaciones.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  Total Knee Arthroplasty (TKA) is one of the most frequently performed orthopedic interventions worldwide, with more than 700,000 primary procedures conducted in 2013. This study aims to demonstrate that TKA with cemented components and mobile bearings is a solid treatment option with low complication rates, good clinical outcomes, and adequate long-term survival.  Materials and methods:  this retrospective study included 890 cases in 810 patients diagnosed with grade IV gonarthrosis, with a mean age of 67.80 years and a mean follow-up period of 12.5 years. Joint replacement was performed using the Langenbeck approach. Evaluation was both radiological and functional, using the American Knee Society Score (AKSS) and Oxford Knee Score (OKS) scales to demonstrate long-term results.  Results:  the preoperative clinical AKSS was 58.7, and 94.4 points at 14 years; the preoperative functional AKSS was 56.73, and 72.5 points at 14 years; and the preoperative OKS was 26.77, and 44.2 points at 14 years, with a cumulative survival rate of 98.0% at 14 years, using revision for any reason as the primary endpoint.  Conclusion:  TKA with mobile bearings for the treatment of grade IV gonarthrosis shows favorable functional outcomes, high long-term survival rates, and low complication rates.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[osteoartritis de la rodilla]]></kwd>
<kwd lng="es"><![CDATA[artroplastía total de rodilla]]></kwd>
<kwd lng="es"><![CDATA[inserto móvil]]></kwd>
<kwd lng="es"><![CDATA[supervivencia]]></kwd>
<kwd lng="es"><![CDATA[resultados funcionales]]></kwd>
<kwd lng="es"><![CDATA[complicaciones]]></kwd>
<kwd lng="en"><![CDATA[knee osteoarthritis]]></kwd>
<kwd lng="en"><![CDATA[total knee arthroplasty]]></kwd>
<kwd lng="en"><![CDATA[mobile bearing]]></kwd>
<kwd lng="en"><![CDATA[survivorship]]></kwd>
<kwd lng="en"><![CDATA[functional outcomes]]></kwd>
<kwd lng="en"><![CDATA[complications]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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