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 language | English (US) |
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Pages (from-to) | 755-762 |
Number of pages | 8 |
Journal | Clinics in podiatric medicine and surgery |
Volume | 25 |
Issue number | 4 |
DOIs | |
State | Published - Oct 1 2008 |
ASJC Scopus subject areas
- Surgery
- Orthopedics and Sports Medicine