Arthroscopic Elimination of Monosodium Urate Deposition of the First Metatarsophalangeal Joint Reduced the recurrence of gout.

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TMUIR > College of Medicine > Department of Medicine > Department of Orthopaedics > Periodical Article > Item 987654321/4106

Please use this identifier to cite or link to this item: http://libir.tmu.edu.tw/handle/987654321/4106

Title:	Arthroscopic Elimination of Monosodium Urate Deposition of the First Metatarsophalangeal Joint Reduced the recurrence of gout.
Authors:	李建和 Wang CC;Shen HC;Kuo CL;Lee CH
Contributors:	醫學系骨科學科
Date:	2009
Issue Date:	2009-08-25 16:21:29 (UTC+8)
Abstract:	PURPOSE: To determine if the arthroscopic removal of gouty crystal deposits from the first metatarsophalangeal (MTP) joint will reduce the recurrence rate and improve foot function compared to medical treatment alone. METHODS: Twenty-eight male patients with hyperuricemia (>7.0 mg/dL) and repeated attacks of gouty arthritis of the first MTP joint were included in this study. Arthroscopic intervention of the first MTP joint was performed on 15 patients (group 1), while the other 13 patients were treated with medication alone (group 2). The follow-up period (mean +/- standard deviation) was 3.9 +/- 1.1 years in group 1 and 2.4 +/- 0.3 years in group 2. RESULTS: After treatment, both groups showed a significant improvement in the number of acute attacks of gouty arthritis and in their functional scores on the American Orthopaedic Foot and Ankle Society Ankle-Hindfoot Scale. On both measures, the results for group 1 were significantly better than those for group 2. CONCLUSIONS: Arthroscopic removal of gouty crystals from the first MTP joint can reduce the rate of acute repeated attacks of gouty arthritis and increase foot and ankle function
Relation:	Arthroscopy.(25):153-158.
Data Type:	article
Appears in Collections:	[Department of Orthopaedics] Periodical Article

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