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Date Published: 23/12/2024
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DOI: https://doi.org/10.51298/vmj.v545i3.12332
Issue
Vol. 545 No. 3 (2024)
Section
Các bài báo
How to Cite
Nguyễn, C. H., Nguyễn, T. N., & Thái, D. Q. (2024). THE RESULTS OF RECONSTRUCTIVE SURGICAL TREATMENT OF ULCERATED TOPHACEOUS GOUT OF FOOT AND ANKLE. Vietnam Medical Journal, 545(3). https://doi.org/10.51298/vmj.v545i3.12332

THE RESULTS OF RECONSTRUCTIVE SURGICAL TREATMENT OF ULCERATED TOPHACEOUS GOUT OF FOOT AND ANKLE

Chí Hiếu Nguyễn, Thị Nga Nguyễn, Duy Quang Thái

Main Article Content

Abstract

Objective: The article aims to assess the characteristics of ulcerated tophaceous gout in foot and ankle, and results of reconstructive surgical treatment. Methods: Our study was performed on 30 patients at Bach Mai hospital in the period of time between 6/2023 and 6/2024. The postoperative follow-up time was from 6 month to 1 year. Results: The ulcerations were mostly located in zone 1 (58,33%) and zone 4 (30,56%). 47,22% of wounds were exudate consist of monosodium urate crystals. Defects after debridement had bone (58,33%)  and tendon (27,78%) exposure. Vacuum assisted closure (VAC) promoted granulation formation to cover bone and tendon. Skin graft was applied in 75% wound and 70,37% had good results. Conclusion: Debridement combined VAC and skin graft are good surgical procedures for treatment of ulcerated tophaceous gout in foot and ankle in elderly patients.

Article Details

Keywords

ulcerated tophaceous gout, foot and ankle, reconstructive surgery, vacuum assisted closure, skin graft

References

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