<?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>S2306-41022025000500292</article-id>
<article-id pub-id-type="doi">10.35366/121077</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Patrón de prescripción en la decisión de amputación temprana de una extremidad severamente lesionada en un hospital de traumatología de referencia]]></article-title>
<article-title xml:lang="en"><![CDATA[Prescription pattern in the decision of early amputation of a severely injured limb in a referral trauma hospital]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gaytán-Fernández]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aceves-Martínez]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Quiroz-Williams]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barragan-Hervella]]></surname>
<given-names><![CDATA[RG]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández-Rivera]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López-Meléndez]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bautista-Martínez]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cruz-Ricardez]]></surname>
<given-names><![CDATA[JA]]></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 y Ortopedia «Manuel Ávila Camacho» Unidad Médica de Alta Especialidad]]></institution>
<addr-line><![CDATA[Puebla ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto de Servicios y Seguridad Social para Trabajadores al Servicio de los Poderes del Estado de Puebla Hospital de Especialidades «5 de Mayo» ]]></institution>
<addr-line><![CDATA[Puebla ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Popular Autónoma del Estado de Puebla Facultad de Medicina ]]></institution>
<addr-line><![CDATA[Puebla ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Puebla Clínica de Columna y Rodilla ]]></institution>
<addr-line><![CDATA[Puebla ]]></addr-line>
<country>México</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>292</fpage>
<lpage>298</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2306-41022025000500292&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2306-41022025000500292&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2306-41022025000500292&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  la decisión de amputar una extremidad gravemente lesionada es un dilema para cualquier cirujano ortopedista. Existen múltiples factores para esta decisión, siendo controversiales para optar por una resolución.  Objetivo:  conocer el tipo de patrón de prescripción para la toma de decisiones en amputación temprana de una extremidad gravemente lesionada en un hospital de traumatología de referencia.  Material y métodos:  estudio observacional analítico, transversal y prospectivo. Se evaluaron a cirujanos ortopedistas de base (OB) y médicos residentes (MR) de la especialidad de ortopedia, quienes evaluaron cinco casos clínicos de extremidades gravemente lesionadas y por medio de MESS, decidieron en amputar o no la extremidad. La estadística utilizada fue &#967;2 para valorar la coincidencia de las decisiones con las respuestas de expertos y Odds Ratio para estimación de riesgos. El valor que se tomó como estadísticamente significativo fue p &lt; 0.005.  Resultados:  muestra 81 participantes, de los cuales 64.2% son OB y 35.8% MR. La coincidencia de respuestas con el grupo de expertos, OB fue de 85.4% y MR fue de 70%. En los OB, la experiencia laboral tuvo un mayor porcentaje de coincidencias, pero no fue estadísticamente significativo (&gt; 20 años, p = 0.034; 10-19 años, p = 0.011; &lt; 9 años, p = 0.011) en cambio, el presentar una certificación vigente (p = 0.002) y contar con un postgrado posterior a la especialidad (p = 0.006) sí la tuvo al compararse con las respuestas del grupo de expertos.  Conclusiones:  en todos los médicos encuestados, la correcta aplicación de MESS, tuvieron una gran coincidencia en la decisión correcta de salvar o amputar una extremidad gravemente dañada.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  the decision to amputate a severely injured limb is a dilemma for any orthopedic surgeon. There are multiple factors for this decision, being controversial for decision making.  Objective:  to know the type of prescription pattern for decision-making in early amputation of a severely injured limb in a reference trauma hospital.  Material and methods:  analytical, cross-sectional and prospective observational study. Orthopedic surgeons and resident physicians in the orthopedic specialty were evaluated, who evaluated five clinical cases of severely injured limbs, and through MESS, decided whether to amputate the limb. The statistic used was &#967;2 to assess the coincidence of the decisions with the experts&#8217; responses, and Odds Ratio to estimate risks. The value that was taken as statistically significant was p &lt; 0.005.  Results:  sample 81 participants, 64.2% OB and 35.8% MR. The agreement of responses with the group of experts, OB was 85.4% and MR was 70%. In the OB, work experience had a higher percentage of coincidences, but they were not statistically significant (&gt; 20 years, p = 0.034; 10-19 years, p = 0.011; &lt; 9 years, p = 0.011) on the other hand, presenting a current certification (p = 0.002) and have a postgraduate degree after the specialty (p = 0.006) if they had one when compared with the responses of the group of experts.  Conclusions:  in all the physician surveyed, the correct application of MESS, they had a great agreement in the correct decision to save or amputate a severely damaged limb.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[extremidad inferior]]></kwd>
<kwd lng="es"><![CDATA[extremidad superior]]></kwd>
<kwd lng="es"><![CDATA[MESS]]></kwd>
<kwd lng="es"><![CDATA[amputación]]></kwd>
<kwd lng="es"><![CDATA[trauma severo]]></kwd>
<kwd lng="en"><![CDATA[lower limb]]></kwd>
<kwd lng="en"><![CDATA[upper limb]]></kwd>
<kwd lng="en"><![CDATA[MESS]]></kwd>
<kwd lng="en"><![CDATA[amputation]]></kwd>
<kwd lng="en"><![CDATA[severe trauma]]></kwd>
</kwd-group>
</article-meta>
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