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 journalArticle

3 Citations (Scopus)

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 2008

Fingerprint

Gouty Arthritis
Infectious Arthritis
Joint Diseases
Arthrodesis
Metatarsal Bones
Joints
Bone and Bones
Limb Salvage
Gout
Osteomyelitis
Infection
Amputation
Ankle
Wound Healing
Abscess
Foot
Necrosis

ASJC Scopus subject areas

  • Surgery

Cite this

Salvage of the First Ray with Concomitant Septic and Gouty Arthritis by Use of a Bone Block Joint Distraction Arthrodesis and External Fixation. / Stapleton, John J.; Rodriguez, Roberto H.; Jeffries, Luke C.; Zgonis, Thomas.

In: Clinics in Podiatric Medicine and Surgery, Vol. 25, No. 4, 10.2008, p. 755-762.

Research output: Contribution to journalArticle

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