<?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>S2306-41022024000600397</article-id>
<article-id pub-id-type="doi">10.35366/118292</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Resultados clínico-funcionales en pacientes con fracturas A y B de Weber con rehabilitación precoz y carga de peso temprano protegido con inmovilización con aparato circular]]></article-title>
<article-title xml:lang="en"><![CDATA[Clinical-functional results in patients with Weber A and B fractures with early rehabilitation and early weight bearing protected with circular appliance immobilization]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barragán-Hervella]]></surname>
<given-names><![CDATA[RG]]></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[López-Soto]]></surname>
<given-names><![CDATA[RJ]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Luna-Méndez]]></surname>
<given-names><![CDATA[MI]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<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[Medellín-Pérez]]></surname>
<given-names><![CDATA[MF]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barrios-López]]></surname>
<given-names><![CDATA[AB]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Palma-Jaimes]]></surname>
<given-names><![CDATA[AM]]></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 «Gral. Manuel Ávila Camacho» Unidad Médica de Alta Especialidad]]></institution>
<addr-line><![CDATA[Puebla Puebla]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Anáhuac Puebla Escuela de Medicina ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Popular Autónoma del Estado de Puebla Facultad de Medicina ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2024</year>
</pub-date>
<volume>38</volume>
<numero>6</numero>
<fpage>397</fpage>
<lpage>403</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2306-41022024000600397&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2306-41022024000600397&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2306-41022024000600397&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  el manejo postquirúrgico de las fracturas de tobillo resulta todavía controversial ya que no existe un régimen ideal de rehabilitación. Así, el objetivo de nuestro estudio fue describir los resultados clínicos y funcionales de los pacientes postquirúrgicos con fractura de tobillo tipos A y B de Weber manejados con rehabilitación y apoyo temprano con inmovilizador con un aparato circular.  Material y métodos:  estudio observacional, prospectivo de pacientes con fractura de tobillo tipos A y B de Weber postoperados, a quienes se les indicó un programa de carga temprana de peso y se compararon con pacientes a quienes no se les aplicó carga de peso. Se evaluaron claudicación de la marcha, propiocepción, arcos de movilidad, grado de independencia, dolor y funcionalidad. Para el análisis estadístico se utilizaron la prueba de Fisher y t de Student; el valor estadísticamente significativo fue p &lt; 0.05.  Resultados:  muestra de 62 pacientes con media de edad de 39.8 años; 11.3% presentó fractura de tobillo tipo A y 88.7% tipo B de la clasificación de Weber. El grupo con carga de peso (grupo A) tuvo mayores arcos de movilidad que el grupo sin carga (grupo B), aunque el grupo A presentó mayor dolor en comparación con el grupo B. En la evaluación funcional, el grupo A obtuvo mayor puntaje y el grado de independencia fue similar en ambos grupos.  Conclusiones:  la carga de peso protegida y movilización temprana postquirúrgica de una fractura de tobillo es una medida de reintegración más rápida comparada con un programa de diferimiento del apoyo.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  the post-surgical management of ankle fractures is still controversial, and there is no consensus on which rehabilitation regimen should be included as the best. The objective of the study was to describe the clinical and functional results of post-surgical patients with A/B Weber ankle fracture managed with early rehabilitation through early support and immobilization with circular appliance immobilization.  Material and methods:  prospective observational study of patients with postoperative Weber A and B ankle fractures, who were prescribed a program of early gradual weight-bearing and protected with a circular appliance and were compared with patients who did not receive weight-bearing. At three months, claudication when walking, proprioception, mobility ranges, degree of independence (Barthel), pain (VAS) and functionality (AOFAS) were evaluated. The analysis was performed with Fisher and t-Student. Statistically significant value was p &lt; 0.05.  Results:  sixty-two patients with a mean age of 39.8 years were included; 11.3% had an ankle fracture type A and 88.7% had a type B ankle fracture according to the Weber classification. The weight-bearing group (group A) had greater ranges of motion than the group without weight-bearing (group B), although group A had greater pain compared to group B. In the functional assessment, group A obtained a higher score and the degree of independence was similar in both groups.  Conclusions:  protected weight-bearing and early mobilization of a surgically managed ankle fracture is a faster reintegration measure compared to support deferral program.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[rehabilitación temprana]]></kwd>
<kwd lng="es"><![CDATA[fractura de tobillo]]></kwd>
<kwd lng="es"><![CDATA[clasificación de Weber]]></kwd>
<kwd lng="es"><![CDATA[carga de peso]]></kwd>
<kwd lng="en"><![CDATA[early rehabilitation]]></kwd>
<kwd lng="en"><![CDATA[ankle fracture]]></kwd>
<kwd lng="en"><![CDATA[Weber classification]]></kwd>
<kwd lng="en"><![CDATA[weight bearing]]></kwd>
</kwd-group>
</article-meta>
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