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) |
|---|---|
| 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 2008 |
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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 journal › Article
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TY - JOUR
T1 - Salvage of the First Ray with Concomitant Septic and Gouty Arthritis by Use of a Bone Block Joint Distraction Arthrodesis and External Fixation
AU - Stapleton, John J.
AU - Rodriguez, Roberto H.
AU - Jeffries, Luke C.
AU - Zgonis, Thomas
PY - 2008/10
Y1 - 2008/10
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=49649109269&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=49649109269&partnerID=8YFLogxK
U2 - 10.1016/j.cpm.2008.05.014
DO - 10.1016/j.cpm.2008.05.014
M3 - Article
C2 - 18722911
AN - SCOPUS:49649109269
VL - 25
SP - 755
EP - 762
JO - Clinics in Podiatric Medicine and Surgery
JF - Clinics in Podiatric Medicine and Surgery
SN - 0891-8422
IS - 4
ER -