Salvage of the First Ray with Concomitant Septic and Gouty Arthritis by use of a Bone Block Joint Distraction Arthrodesis and External Fixation.
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.
Published In/Presented At
Stapleton, J. J., Rodriguez, R. H., Jeffries, L. C., & Zgonis, T. (2008). Salvage of the first ray with concomitant septic and gouty arthritis by use of a bone block joint distraction arthrodesis and external fixation. Clinics In Podiatric Medicine And Surgery, 25(4), 755. doi:10.1016/j.cpm.2008.05.014
Other Medical Specialties | Surgery
Department of Surgery