| 1 |
Review Salvage of the first ray with concomitant septic and gouty arthritis by use of a bone block joint distraction arthrodesis and external fixation. 2008
Stapleton JJ, Rodriguez RH, Jeffries LC, Zgonis T. · Foot and Ankle Surgery, VSAS Orthopaedics, Lehigh Valley Hospital, Cedar Crest Campus, Allentown, PA, USA. · Clin Podiatr Med Surg. · Pubmed #18722911 No free full text.
Abstract: Gouty arthropathy about the first metatarsal-phalangeal joint with a superimposed deep infection poses a great challenge to the foot and ankle surgeon. The inflammatory nature of gout compromises the soft-tissue envelope and vasculature to the area. Acute gouty arthropathy is usually a contraindication to surgical intervention secondary to wound-healing complications and possible vasospasm leading to tissue necrosis. However, if deep infection is present this must be managed with adequate surgical débridement followed by delayed soft-tissue and osseous reconstruction to prevent amputation. The authors present an exceptional clinical manifestation of gouty arthropathy of the first metatarsal-phalangeal joint concomitant with deep abscess and osteomyelitis and the surgical approach taken to afford functional limb salvage.
|