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Date Published: 07/03/2026
Abstract Views: 60
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DOI: https://doi.org/10.51298/vmj.v559i2.17480
Issue
Vol. 559 No. 2 (2026)
Section
Các bài báo
How to Cite
Trần , V. V., & Lê , V. D. (2026). TOPHI CURETTAGE, BONE GRAFTING, AND TIBIAL PLATEAU RECONSTRUCTION COMBINED WITH ARTHROSCOPY: TREATMENT OF INTRAOSSEOUS TOPHACEOUS GOUT IN TIBIAL PLATEAU DAMAGE – A CLINICAL CASE REPORT. Vietnam Medical Journal, 559(2). https://doi.org/10.51298/vmj.v559i2.17480

TOPHI CURETTAGE, BONE GRAFTING, AND TIBIAL PLATEAU RECONSTRUCTION COMBINED WITH ARTHROSCOPY: TREATMENT OF INTRAOSSEOUS TOPHACEOUS GOUT IN TIBIAL PLATEAU DAMAGE – A CLINICAL CASE REPORT

Văn Vương Trần 1,, Văn Dương Lê 2
1 University of Medicine and Pharmacy at Ho Chi Minh City
2 Gia Dinh People's Hospital, Ho Chi Minh City

Main Article Content

Abstract

Introduction: Gout is an inflammatory arthritis characterized by monosodium urate (MSU) monohydrate crystals deposition, which can lead to severe bone damage. Bone lesion due to gout are rare and often misdiagnosed as bone tumors. Case Report: A 36-year-old male with a 4-year history of gout presented with severe left knee pain after minor trauma. Imaging (X-ray, CT scan, and MRI) showed extensive bone erosion in the lateral tibial plateau, suspected to be a bone tumor. Biopsy confirmed the presence of intraosseous tophi. The patient underwent tophi currettage, bone grafting, and tibial plateau reconstruction. After 3 months, the patient had a good recovery, with no pain on weight-bearing. Discussion: Bone erosions due to gout can be severe and are often confused with malignant conditions. Accurate diagnosis requires a combination of clinical evaluation, imaging, and histopathology. Treatment involves managing serum uric acid levels and surgical intervention when necessary to restore joint function. Conclusion: This report highlights the importance of differentiating intraosseous gout from bone tumors and the role of surgical treatment in cases with extensive bone damage or functional impairment.

Article Details

Keywords

gout, intraosseous tophaceous, tophi curettage

References

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