<?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>0026-1742</journal-id>
<journal-title><![CDATA[Revista de la Facultad de Medicina (México)]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Fac. Med. (Méx.)]]></abbrev-journal-title>
<issn>0026-1742</issn>
<publisher>
<publisher-name><![CDATA[Universidad Nacional Autónoma de México, Facultad de Medicina]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0026-17422019000600028</article-id>
<article-id pub-id-type="doi">10.22201/fm.24484865e.2019.62.6.04</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Fractura de cadera en adultos mayores: Impacto del tratamiento quirúrgico oportuno en la morbimortalidad]]></article-title>
<article-title xml:lang="en"><![CDATA[Hip Fracture in Elderly Patients: The Impact of Timely Surgical Treatment in Morbimortality]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zaragoza Sosa]]></surname>
<given-names><![CDATA[Daniela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Laureani]]></surname>
<given-names><![CDATA[Jesús]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[King Martínez]]></surname>
<given-names><![CDATA[Ana Cristina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General Dr. Manuel Gea González División de Ortopedia ]]></institution>
<addr-line><![CDATA[Cd. Mx ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital General Dr. Manuel Gea González División de Ortopedia ]]></institution>
<addr-line><![CDATA[Cd. Mx ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<volume>62</volume>
<numero>6</numero>
<fpage>28</fpage>
<lpage>31</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0026-17422019000600028&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0026-17422019000600028&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0026-17422019000600028&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción Las fracturas de cadera comprenden las regiones de la cabeza, el cuello femoral y la región intertrocantérica. Son una de las causas de morbilidad y mortalidad más importantes en adultos mayores y afectan el equilibrio físico, mental, funcional y social de estos pacientes. Hasta 50% de los pacientes con fractura de cadera, muere en los primeros 6 meses posteriores a la lesión y un gran número de los que sobrevive no recupera su nivel previo de independencia y funcionalidad. La pronta solución quirúrgica disminuye la mortalidad y las complicaciones; cada dos días de espera quirúrgica duplica el riesgo de muerte.  Caso clínico Paciente del sexo femenino, de 74 años, que cayó desde su propio plano de sustentación, a consecuencia de lo cual presentó incapacidad para la marcha y dolor progresivo a nivel de cadera derecha. Acudió al servicio de ortopedia para ser valorada 42 días después de la caída. A la exploración física ortopédica: El miembro pélvico derecho en actitud de rotación externa y acortamiento de 1 cm; los arcos de movilidad de cadera, limitados por dolor; la fuerza por grupos musculares no se valoró debido al dolor. Se le realizó radiografía anteroposterior (AP) de pelvis, en la que se observó un trazo simple a nivel subcapital en la cadera derecha. 52 días después de la caída, se le realizó una artroplastia total de cadera derecha.  Conclusiones La fractura de cadera es una patología común en pacientes ancianos, y se relaciona con alta morbimortalidad. Es imprescindible un manejo temprano, disminuir el riesgo de complicaciones y la mortalidad.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction  Hip fracture, may occur in the femoral head, neck or in the intertrochanteric line. It is one of the most important causes of morbidity and mortality in elderly patients and it affects the physical, mental, functional and social equilibrium of these patients. Up to 50% of patients with hip fracture die in the first six months after the injury and many those who survive don´t recover their previous level of independence and functionality. Early surgical resolution diminishes mortality and complications. Every two days that the surgery is postponed doubles the risk of death.  Case report study  A 74-year-old female patient who presented a fall from her own height, is rendered incapable of walking and presents progressive pain in her right hip. She consults an orthopedic doctor for examination 42 days after the fall. Physical examination: right pelvic lower limb with an external rotation and a 1 cm shortness, hip mobility arches limited by pain. Muscle group strength was not examined because of the pain. An AP x-ray of the pelvis was performed that showed a simple trace at subcapital level on the right hip. A total arthroplasty of the right hip was performed 52 days after the patient&#8217;s fall.  Conclusions  Hip fracture is a common problem in elderly patients and is associated with a high morbimortality. It is important to handle these cases early to diminish the risk of complications and mortality.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Fractura de cadera]]></kwd>
<kwd lng="es"><![CDATA[morbilidad]]></kwd>
<kwd lng="es"><![CDATA[mortalidad]]></kwd>
<kwd lng="es"><![CDATA[tratamiento quirúrgico]]></kwd>
<kwd lng="en"><![CDATA[Hip fracture]]></kwd>
<kwd lng="en"><![CDATA[morbidity]]></kwd>
<kwd lng="en"><![CDATA[mortality]]></kwd>
<kwd lng="en"><![CDATA[surgical treatment]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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