<?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>2256-5655</journal-id>
<journal-title><![CDATA[Revista Colombiana de Medicina Física y Rehabilitación]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Col Med Fis Rehab]]></abbrev-journal-title>
<issn>2256-5655</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Colombiana de Medicina Física y Rehabilitación]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2256-56552025000100001</article-id>
<article-id pub-id-type="doi">10.28957/rcmfr.441</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Caracterización de los cambios en el volumen del muñón en pacientes con amputación transtibial]]></article-title>
<article-title xml:lang="en"><![CDATA[Characterization of physiological changes in residual limb volume in transtibial amputees]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gaviria Moreno]]></surname>
<given-names><![CDATA[Jaclin Patricia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gutiérrez Ramirez]]></surname>
<given-names><![CDATA[Miguel Ángel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Militar Nueva Granada  ]]></institution>
<addr-line><![CDATA[Bogotá D.C]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Nacional de Colombia  ]]></institution>
<addr-line><![CDATA[Bogotá D.C]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2025</year>
</pub-date>
<volume>35</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S2256-56552025000100001&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S2256-56552025000100001&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S2256-56552025000100001&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción. Las amputaciones son eventos que pueden tener consecuencias físicas, psicológicas y laborales en las personas. En Colombia, estas representan una causa importante de limitación física y se asocian principalmente al conflicto armado.  Objetivos. Caracterizar los cambios en el volumen del muñón de un grupo de pacientes con amputación transtibial que iniciaron proceso de protetización en un hospital de Bogotá D.C. (Colombia); identificar los posibles factores asociados a estos cambios y el momento de ocurrencia, y establecer tiempos específicos para la realización de la medición del volumen del muñón durante el proceso de adaptación protésica.  Métodos. Se realizó un estudio prospectivo con una serie de casos que incluyó a pacientes adultos (&gt;18 años) con diagnóstico de amputación transtibial y que iniciaron proceso de protetización en el Servicio de Prótesis y Amputados del Hospital Militar Central de Bogotá D.C. entre enero de 2022 y junio de 2023. Se registraron los datos personales de los participantes, quienes fueron valorados en cuatro oportunidades en las que se les realizó medición de longitud y circunferencias al muñón y escaneo 3D para calcular el volumen del muñón. Se realizó un análisis descriptivo mediante el programa estadístico R. Los datos se describen usando frecuencias absolutas y relativas para las variables cualitativas, y medidas de tendencia central y dispersión para las cuantitativas.  Resultados. Se incluyeron 20 participantes, todos hombres, con una edad media de 34,66 años. 95% de las amputaciones fueron causadas por un artefacto explosivo improvisado, 75% eran en la pierna izquierda y 60% tenían morfología cilíndrica. Se encontró una asociación significativa entre el tiempo de uso de la prótesis y el nivel de actividad del paciente. Se observó que los cambios en el volumen, la longitud y la circunferencia del muñón no siguen un patrón uniforme y varían entre individuos; sin embargo, en los muñones de morfología bulbosa solo se observaron reducciones de volumen, sin aumento en las medidas. No se encontraron asociaciones significativas entre las características sociodemográficas de los participantes y los cambios de volumen del muñón.  Conclusión. No se identificó un factor o una condición sociodemográfica que tenga un efecto significativo en los cambios de volumen del muñón. Además, no fue posible establecer valores específicos de variabilidad ni predecir cuándo ocurrirán cambios en el volumen del muñón; por lo tanto, no fue posible establecer momentos específicos para realizar mediciones al muñón.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction. Amputations are events that can have physical, psychological, and occupational consequences on individuals. In Colombia, these represent an important cause of physical limitation and are mainly associated with armed conflict.  Objectives. To characterize changes in stump volume in a group of patients with transtibial amputations who began the prosthetic fitting process at a hospital in Bogotá D.C. (Colombia); to identify possible factors associated with these changes and their time or occurrence; and to establish specific times for measuring the stump volume during the prosthetic adaptation process.  Methods. A prospective study was conducted with a series of cases that included adult patients (&gt;18 years) diagnosed with transtibial amputation and who began the prosthetic fitting process at the Prosthetics and Amputee Service of the Central Military Hospital (Hospital Militar Central) of Bogotá D.C. between January 2022 and June 2023. The personal data of the participants, who were assessed on four occasions in which their stump length and circumference were measured and 3D scanned to calculate the stump volume, were recorded. A descriptive analysis was performed using the R statistical software. The data are described using absolute and relative frequencies for qualitative variables, and measures of central tendency and dispersion for quantitative variables.  Results. A total of 20 participants were included, all men, with a mean age of 34.66 years. 95% of the amputations were caused by an improvised explosive device, 75% were in the left leg and 60% had cylindrical morphology. A significant association was found between the time of use of the prosthesis and the activity level of the patient. It will be observed that changes in the volume, length and circumference of the stump do not follow a uniform pattern and vary between individuals; However, in the stumps of bulbous morphology, only reductions in volume were observed, without an increase in measurements. No significant associations were found between sociodemographic characteristics of the participants and changes in stump volume.  Conclusion. No sociodemographic factor or condition was identified as having a significant effect on stump volume changes. In addition, it was not possible to establish specific variability values or predict when changes in the stump volume will occur; therefore, it was not possible to establish specific times to perform measurement of the stump.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Amputación]]></kwd>
<kwd lng="es"><![CDATA[prótesis e implantes]]></kwd>
<kwd lng="es"><![CDATA[muñones de amputación]]></kwd>
<kwd lng="es"><![CDATA[traumatismos de la pierna]]></kwd>
<kwd lng="en"><![CDATA[Amputation]]></kwd>
<kwd lng="en"><![CDATA[prosthesis and implants]]></kwd>
<kwd lng="en"><![CDATA[amputation stumps]]></kwd>
<kwd lng="en"><![CDATA[leg trauma]]></kwd>
</kwd-group>
</article-meta>
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