Gouty Arthritis with Massive Tophaceous Deposits Involving Bilateral Metatarsophalangeal Joints, Surgical Treatment with Excision and Reconstruction – A Case Report
Year: 2025
Type: article
Study design: Case Report
Abstract: Introduction: Gout is characterized by the deposition of monosodium urate crystals and the formation of tophaceous deposits, which can lead to arthritis and bony erosions. While bony erosions in gouty arthritis are common, massive erosions of bone with the destruction of complete bone are rarely described. Case Report: We report a case of gouty arthritis with bilateral first metatarsophalangeal (MTP) joint involvement with bone erosion involving adjacent bones. Both sides were treated by surgical treatment with the excision of entire tophaceous deposits, the first MTP joint and the adjacent involved bones followed by reconstruction using interposition grafts. The patient was able to walk comfortably at the end of 6 months, with good cosmetic correction and healing of the wound. Conclusion: Surgical excision and reconstruction with intercalary graft for a massive tophaceous deposit around the first MTP joint can give satisfactory results.
Authors: P Janardhana Aithala, Dinesh Kumar Shetty
Institution: Yenepoya University
Language: English
Subfield: Nephrology
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $250
OpenAlex ID: W4409167065