<?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>0376-7892</journal-id>
<journal-title><![CDATA[Cirugía Plástica Ibero-Latinoamericana]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. plást. iberolatinoam.]]></abbrev-journal-title>
<issn>0376-7892</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Cirugía Plástica, Reparadora y Estética (SECPRE)]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0376-78922019000400011</article-id>
<article-id pub-id-type="doi">10.4321/s0376-78922019000400011</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Experiencia multicéntrica en reconstrucción nerviosa del miembro inferior]]></article-title>
<article-title xml:lang="en"><![CDATA[Multicentric experience in lower limb nerve reconstruction]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rojas]]></surname>
<given-names><![CDATA[Leonardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lacouture]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Íñigo]]></surname>
<given-names><![CDATA[Federico]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cárdenas]]></surname>
<given-names><![CDATA[Alexander]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario Clínica San Rafael Clínica de Parálisis Facial y Nervio Periférico ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Universitario Clínica San Rafael Servicio de Cirugía Plástica ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital General Manuel Gea González  ]]></institution>
<addr-line><![CDATA[México D.F. ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital General Manuel Gea González Clínica de Parálisis Facial y Nervio Periférico ]]></institution>
<addr-line><![CDATA[México D.F. ]]></addr-line>
<country>México</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>45</volume>
<numero>4</numero>
<fpage>413</fpage>
<lpage>426</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S0376-78922019000400011&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S0376-78922019000400011&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S0376-78922019000400011&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción y objetivo Las lesiones nerviosas en los miembros inferiores son un problema mayor para quienes las padecen porque ocasionan limitaciones funcionales importantes en la extremidad afectada, que pueden ser de carácter sensitivo, motor o ambas. La reconstrucción nerviosa de las extremidades inferiores es un desafío quirúrgico para el cirujano por la dificultad técnica y la gran demanda de conocimiento que requieren. Presentamos la experiencia en reconstrucción nerviosa de los miembros inferiores en el Hospital Universitario Clínica San Rafael en Bogotá (Colombia) y en el Hospital Manuel Gea González en México D.F, (México), y por primera vez, la neurotización sensitiva del nervio safeno interno al nervio tibial posterior  Material y método Recopilamos información de 9 pacientes con lesiones nerviosas de los miembros inferiores, las más representativas según ubicación y etiología, que acudieron a la clínica especializada de nervio periférico, 3 en el Hospital Manuel Gea González y 6 en el Hospital Universitario Clínica San Rafael, y que requirieron reconstrucción nerviosa microquirúrgica.  Resultados En todos los casos hubo recuperación funcional y/o sensitiva de la extremidad afectada. Describimos por primera vez la neurotización sensitiva del nervio safeno interno al tibial para recuperación de sensibilidad de la planta del pie.  Conclusiones Cuanto más proximal es la lesión, más tarda su recuperación. La neurotización sensitiva del nervio safeno interno al nervio tibial es un procedimiento efectivo. El uso de diferentes técnicas quirúrgicas favorece una adecuada reconstrucción nerviosa. Lesiones con evolución menor de 1 año y brechas nerviosas menores de 6 cm son factores de buen pronóstico para la recuperación de los pacientes.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background and objective The nerve injuries in the lower limb are a major problem because they cause functional limitation in the affected extremity; these limitations can be sensitive, motor or both. The nerve reconstruction of lower limb is a challenging procedure because it requires huge knowledge of the pathology and surgeon expertise. We present our experience in lower limb nerve reconstruction in the Universitary Hospital Clínica San Rafael in Bogotá (Colombia) and Hospital Manuel Gea González in México D.F. (México). In addition, sensory neurotization of the internal saphenous nerve to the posterior tibial nerve is presented for the first time.  Methods Information was collected from 9 patients with nerve injuries of the lower limbs, the most representative according to location and etiology, who attended the specialized clinic of peripheral nerve, 3 at the Manuel Gea González Hospital and 6 at the Universitary Hospital Clínica San Rafael, and that required microsurgical nerve reconstruction.  Results In all cases, functional and/or sensory recovery of the affected limb was obtained. The sensory neurotization of the internal saphenous nerve to the tibial is described for the first time, to recover the sensation of the sole of the foot.  Conclusions The closer the lesion is, the longer it takes to recover. Sensory neurotization of the internal saphenous nerve to the tibial nerve is an effective procedure. The use of different surgical techniques favors adequate nerve reconstruction. Lesions with evolution less than 1 year and nerve gaps smaller than 6 cm are factors of good prognosis for the recovery of patients.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Miembro inferior]]></kwd>
<kwd lng="es"><![CDATA[Reconstrucción nerviosa]]></kwd>
<kwd lng="es"><![CDATA[Nervio sural]]></kwd>
<kwd lng="es"><![CDATA[Microcirugía]]></kwd>
<kwd lng="es"><![CDATA[Transferencia tendinosa]]></kwd>
<kwd lng="en"><![CDATA[Lower limb]]></kwd>
<kwd lng="en"><![CDATA[Nerve reconstruction]]></kwd>
<kwd lng="en"><![CDATA[Sural nerve]]></kwd>
<kwd lng="en"><![CDATA[Microsurgery]]></kwd>
<kwd lng="en"><![CDATA[Tendon transfer]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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