<?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>1870-7203</journal-id>
<journal-title><![CDATA[Acta médica Grupo Ángeles]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd. Grupo Ángeles]]></abbrev-journal-title>
<issn>1870-7203</issn>
<publisher>
<publisher-name><![CDATA[Grupo Ángeles, Servicios de Salud]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1870-72032019000200150</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Lesión multiligamentaria de rodilla]]></article-title>
<article-title xml:lang="en"><![CDATA[Multiligament knee injury]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aguirre Rodríguez]]></surname>
<given-names><![CDATA[Víctor Hugo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández Torrescano]]></surname>
<given-names><![CDATA[Mauricio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valero González]]></surname>
<given-names><![CDATA[Fernando Sergio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad La Salle Facultad Mexicana de Medicina ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad La Salle Facultad Mexicana de Medicina ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad La Salle Facultad Mexicana de Medicina ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<volume>17</volume>
<numero>2</numero>
<fpage>150</fpage>
<lpage>154</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1870-72032019000200150&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1870-72032019000200150&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1870-72032019000200150&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  Las lesiones simultáneas del tendón patelar (TP), ligamento cruzado anterior (LCA) y ligamento colateral medial (LCM) son poco frecuentes y están relacionadas con mecanismos de alta energía, generalmente asociados a lesiones condrales, meniscales o fracturas. El objetivo de este estudio es la presentación de un caso clínico y su abordaje quirúrgico en dos tiempos, así como proporcionar una opción de manejo.  Caso clínico:  Masculino de 42 años, trauma de alta energía; se discuten la estrategia diagnóstica y la técnica quirúrgica, y se presenta el resultado clínico. El caso se resolvió en dos tiempos quirúrgicos. En el primero, se realizó plastia del TP, reforzado con aloinjerto y reinserción del LCM con anclas; en el segundo, a las ocho semanas, reconstrucción del LCA por artroscopia y reparación meniscal.  Discusión:  La edad del paciente se encuentra por arriba del promedio (29.9 años) de las series reportadas. El mecanismo de lesión es de alta energía, no relacionado con el deporte (77.41% en deportistas). En contraste con la literatura actual, en este caso presentamos una lesión del TP asociada a una del LCM (67.74%), que antes era reportada como rara. Optamos por el tratamiento en dos tiempos de acuerdo a la complejidad de las lesiones.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  Simultaneous lesions of the patellar tendon (TP), anterior cruciate ligament (ACL) and the medial collateral ligament (MCL) are rare, and they are related to high-energy mechanisms, generally associated with chondral lesions, meniscal tears or bone fractures. The objective of this study is to present a clinical case, the surgical approach in two steps, and to provide other management options.  Case report:  We discuss the diagnostic strategy in a 42-year-old male with a high-energy trauma, the surgical technique and the clinical outcome. The case was solved in two surgical steps. First, a reconstruction of the TP, reinforcement with en allograft and reinsertion of the LCM with anchors were performed. Then, eight weeks later, the surgery consisted of an ACL reconstruction and meniscal repair by arthroscopy.  Discussion:  The patient&#8217;s age was above the average (29.9 years) of the reported case series. The mechanism of injury did not correspond to a sports-related event (77.41% in athletes). In contrast with the current literature, in this case we present a lesion of the TP associated with an LCM injury (67.74%), which has been reported previously as rare. We opted for a treatment in two steps according to the complexity of the lesions.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Simultáneo o concomitante]]></kwd>
<kwd lng="es"><![CDATA[tendón rotuliano]]></kwd>
<kwd lng="es"><![CDATA[ligamento cruzado anterior]]></kwd>
<kwd lng="en"><![CDATA[Simultaneous or concomitant]]></kwd>
<kwd lng="en"><![CDATA[patellar tendon]]></kwd>
<kwd lng="en"><![CDATA[anterior cruciate ligament]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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