[Clinical observation of arthroscopic debridement for acute gouty arthritis of the ankle].

Abstract

OBJECTIVE:

To evaluate the effects of arthroscopic debridement for acute gouty arthritis of the ankle.

METHODS:

Forty-one patients with acute gouty arthritis of the ankle were treated under arthroscopy from January 2010 to June 2012. All the patients were male, age in ranging from 28 to 69 years with an average of 43 years. Eighteen patients were in the left ankles and 23 in the right ankles; 12 cases were firstly attack and 29 cases were recurrent attack. Course of disease was from 2 weeks to 30 months. The American Orthopedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot Scale score was used to evaluate the clinical effects. Number of acute attacks of gouty arthritis were observed.

RESULTS:

All the patients were followed up at least 12 months. The mean AOFAS Ankle-Hindfoot Scale score increased from 58.44 +/- 9.45 preoperatively to 86.15 +/- 7.36, 83.41 +/- 9.22, 84.10 +/- 8.22 postoperatively at 6, 12, months and the last follow-up respectively. Swelling of the ankle were improved significantly, pain was relieved and the mean number of acute attacks of gouty arthritis decreased significantly.

CONCLUSION:

Arthroscopy is helpful for the diagnosis of acute gouty arthritis of the ankle and improvement of clinical symptoms and ankle function.

• Authors: Hong-liang Li, Shu-yuan Li, Chun-bao Li, Wei Qui, Feng Qu, Qi Guo, Xue-zhen Shen, Xi Lu, Yu-jie Liu, Min Wei
• Journal: Zhongguo gu shang = China journal of orthopaedics and traumatology (Zhongguo Gu Shang) Vol. 29 Issue 3 Pg. 258-60 (Mar 2016) ISSN: 1003-0034 [Print] China
• PMID: 27149797 (Publication Type: English Abstract, Journal Article, Research Support, Non-U.S. Gov't)

Topics

• Adult
• Aged
• Ankle Joint (physiopathology, surgery)
• Arthritis, Gouty (physiopathology, surgery)
• Arthroscopy
• Debridement
• Female
• Humans
• Male
• Middle Aged
• Treatment Outcome