<?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>1134-928X</journal-id>
<journal-title><![CDATA[Gerokomos]]></journal-title>
<abbrev-journal-title><![CDATA[Gerokomos]]></abbrev-journal-title>
<issn>1134-928X</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Enfermería Geriátrica y Gerontológica]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1134-928X2020000100011</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Herida avulsiva: efectividad de la terapia de presión negativa en una mordedura de perro]]></article-title>
<article-title xml:lang="en"><![CDATA[Degloving injury: dog bite with exposed tendon. Effectiveness of negativepressure wound therapy]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Boix-Sales]]></surname>
<given-names><![CDATA[Mar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Montero]]></surname>
<given-names><![CDATA[Adrián]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guinot-Bachero]]></surname>
<given-names><![CDATA[Jordi]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A5"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Unidad Docente Multiprofesional de Atención Familiar y Comunitaria de Castellón  ]]></institution>
<addr-line><![CDATA[Castellón de la Plana ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Servicio Andaluz de Salud  ]]></institution>
<addr-line><![CDATA[Sevilla ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Centro de Salud Palleter  ]]></institution>
<addr-line><![CDATA[Castellón de la Plana ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Departamento de Castelló CATIC ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Grupo nacional para el estudio y asesoramiento en Úlceras por Presión y Heridas Crónicas.  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<volume>31</volume>
<numero>1</numero>
<fpage>55</fpage>
<lpage>59</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1134-928X2020000100011&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1134-928X2020000100011&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1134-928X2020000100011&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Presentamos el caso de una mujer de 84 años que sufrió una mordedura de perro en el brazo, produciéndose, en consecuencia, una herida avulsiva en el tercio proximal de antebrazo, con la particularidad de dejar el tendón expuesto. En el caso que presentamos proponemos un tratamiento de utilización del colgajo como apósito viable junto al abordaje de la biopelícula, medidas protectoras del tendón y un tratamiento antibiótico. Por otra parte, la aparición de hipergranulación en el lecho de la herida fue un evento adverso que se consiguió resolver favorablemente sin llegar a comprometer la viabilidad del tendón expuesto. La utilización de terapia de presión negativa sobre la lesión logró un avance importante de la epitelización. En definitiva, la actuación de los profesionales en la consulta de enfermería fue crucial a la hora de facilitar la adhesión al tratamiento, manteniendo así la calidad de vida de la paciente.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT We present the case of an 84-year-old woman who suffered a dog bite on her arm; producing, consequently, an avulsive wound in the proximal third of the forearm, with the peculiarity of leaving the tendon exposed. In the case we present, we propose a treatment for the use of the flap as a viable dressing that, together with the biofilm approach, protects the tendon and an antibiotic treatment. On the other hand, the appearance of hypergranulation in the wound bed was an adverse event that was resolved favorably without compromising the viability of the exposed tendon. The use of Negative Pressure Therapy on the lesion achieved an important advance of the epithelization. In short, the performance of professionals in nursing consultation was crucial in facilitating adherence to treatment, thus maintaining the quality of life of the patient.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Mordeduras]]></kwd>
<kwd lng="es"><![CDATA[traumatismos de los tendones]]></kwd>
<kwd lng="es"><![CDATA[manipulaciones musculoesqueléticas]]></kwd>
<kwd lng="es"><![CDATA[terapia de presión negativa para heridas]]></kwd>
<kwd lng="es"><![CDATA[lesiones por desenguantamiento]]></kwd>
<kwd lng="es"><![CDATA[biopelícula bacteriana]]></kwd>
<kwd lng="en"><![CDATA[Bites]]></kwd>
<kwd lng="en"><![CDATA[tendon injuries]]></kwd>
<kwd lng="en"><![CDATA[musculoskeletal manipulations]]></kwd>
<kwd lng="en"><![CDATA[Negative-Pressure Wound Therapy]]></kwd>
<kwd lng="en"><![CDATA[degloving injuries]]></kwd>
<kwd lng="en"><![CDATA[bacterial biofilm]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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