Title

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

Publication/Presentation Date

10-1-2008

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.

Volume

25

Issue

4

First Page

755

Last Page

762

ISSN

0891-8422

Disciplines

Other Medical Specialties | Surgery

PubMedID

18722911

Department(s)

Department of Surgery

Document Type

Article