Salvage of the First Ray with Concomitant Septic and Gouty Arthritis by Use of a Bone Block Joint Distraction Arthrodesis and External Fixation

John J. Stapleton, Roberto H. Rodriguez, Luke C. Jeffries, Thomas Zgonis

Research output: Contribution to journalReview article

4 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)755-762
Number of pages8
JournalClinics in podiatric medicine and surgery
Volume25
Issue number4
DOIs
StatePublished - Oct 1 2008

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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