Objective: The objective of this study is to evaluate the results and complications of the subtalar arthrodesis technique conducted via arthroscopy. Methods: Searches were run on PubMed/Medline and Google Scholar for publications dated from 2007 to 2020. Original articles were included that reported the results of at least one comparative postoperative scale. Methodological quality was assessed using the PRISMA tool. Union rate, complications, and the American Orthopedic Foot and Ankle Society (AOFAS) score were prioritized. Results: A total of 124 references were identified and, after application of the inclusion and exclusion criteria and the PRISMA tool, 9 articles were eligible. A total of 180 patients were analyzed, with mean postoperative follow-up of 18 months (± 6) and with before and after AOFAS scores varying from 44 to 79 with p<0.001, demonstrating statistical relevance with significant improvement of AOFAS scores during the postoperative period. Deformity correction, improvement of pain, and rates of union were good and there was clinical improvement according to postoperative AOFAS scores, with few complications. However, the heterogeneous nature of studies, withvariations in techniques and samples, prevents generalization of the findings. Conclusion: The results of arthroscopic surgery for subtalar arthrodesis are good and rates of complications are low, but there are stillfew studies with high evidence levels that demonstrate the efficacy of the technique, although preliminary results are encouraging. Level of Evidence I; Therapeutic Studies; Systematic Review.

Fomento à pesquisa e à produção científica é, sem dúvida nenhuma, um dos pilares principais da Comissão Estadual de Residência Medica de Goiás-CEREM Goiás, uma entidade conceituada que desempenha importante papel no cenário regional da saúde. Portanto, tendo como objetivo principal a divulgação da produção científica dos médicos residentes, dos serviços de residência médica e da comunidade médica, idealizamos a Revista Científica CEREM Goiás. Com essa iniciativa reafirmamos a importância acadêmica, científica e social da residência médica e ofertamos nossa parcela de contribuição para a divulgação científica e o avanço do aprendizado médico, o que representa, em última análise, ampliação da excelência profissional e melhores resultados aos pacientes. Bem-vindos à primeira edição da Revista Científica CEREM-GO.

ATJ) vem aumentando com o envelhecimento da população. É indicado para o tratamento da osteoartrite, doença inflamatória e degenerativa que destrói a cartilagem articular e afeta a marcha progressivamente. Assim, a ATJ é uma estratégia reconhecidamente bem sucedida que visa a obtenção de um joelho estável e funcional. No entanto, quando uma ATJ primária falhadevido desalinhamento, instabilidade ou infecçãoe uma nova cirurgia é necessária, os pacientes enfrentam dor, piora da deambulação e disfunções diversas. As cirurgias primárias, bem como as de revisão apresentam riscos de complicações graves e até mesmo de óbito. Objetivos: Analisar o número de autorizações de internações hospitalares (AIH) para a cirurgia de artroplastia total primária de joelho e para a cirurgia de revisão/reconstrução de artroplastia total de joelho realizados no sistema público de saúde do país, entre 2009 e 2018. Metodologia: Estudo transversal prospectivo da proporção de internações autorizadas para as cirurgias de artroplastia total primária de joelho e de revisão/reconstrução da artroplastia total de joelho nas unidades hospitalares do Sistema Único de Saúde (SUS), no Brasil, entre 2009 e 2018. Utilizou-se os dados oriundos do DATASUS no Sistema de Informações Hospitalares do SUS (SIH-SUS). Analisou-se as variáveis número de internações hospitalares autorizadas e taxa de mortalidade.

Injuries with exposure of soft tissue are frequent in orthopaedics. Innovative therapies using prosthesis as an auxiliary material to treat this type of injury are under development, aiming to overcome applicability and execution limitations of myocutaneous flap techniques. Figueiredo’s technique uses a polypropylene prosthesis extracted from sterile saline to treat trauma at the fingertip. It is an alternative technique with a high success rate, reproducible, low cost and easy to apply. This article reports a case of foot injury with exposure of soft tissue treated with a treatment similar to Figueiredo’s technique. The patient was admitted with a large and contaminated skin wound, muscle damage, tendon exposure, cuboid fracture and bone loss. Initially, debridement was performed. After 72 hours, a polypropylene prosthesis extracted from a sterile saline bottle was implanted and subsequently replaced after 60 days. After 76 days, the prosthesis was removed. There was no infection. 8 months later, there was total healing by second intention. The patient's motor and sensory functions were preserved. This case study shows that Figueiredo’s technique can also be employed in more extensive injuries, representing an alternative to using myocutaneous flaps. The polypropylene prosthesis is extremely affordable, which enables resolution of cases in a greater number of services. This technique still offers the best aesthetic result and does not compromise other body regions.

Capitate and hamate fractures are infrequent injuries and are uncommon in isolation. A capitate fracture is usually associated with a scaphoid fracture. The primary mechanism of injury is a fall with the wrist in hyperextension. Other possible ways for capitate fractures are axial down trauma of the third metacarpal and direct trauma. Hamate fractures have a 2% incidence among carpal bone fractures, probably due to underreporting. They can occur on the hamate body or the hamulus or hook. Combined capitate and hamate fractures are uncommon and relevant studies, especially case reports, are scarce. We present a case report of a combined capitate and hamate fracture in a 44-year-old patient who suffered a direct trauma to the back of the hand during a fall. Following a clinical suspicion based on history and physical examination, radiographic and computed tomography (CT) studies were crucial for elucidating the case and proposed treatment, which involved ensuring absolute stability and performing an open reduction, using interfragmentary compression, with the Herbert bone screw implanted in each bone. After the surgical procedure, the patient wore a forearm plaster cast splint for four weeks. A satisfactory outcome was obtained in three months, with a complete range of motion and preserved force compared to the contralateral hand.