Brandon Arcole, Rella Robert, Cox Tanner, Mullens Jess
Frederick P. Whiddon College of Medicine University of South Alabama, Mobile, Alabama, USA.
Department of Orthopedic Surgery University of South Alabama Health University Hospital, Mobile, Alabama, USA.
Case Rep Orthop. 2024 Sep 20;2024:8878405. doi: 10.1155/2024/8878405. eCollection 2024.
The formation of gouty tophi surrounding the prior surgical site years after an Achilles tendon repair is an extremely rare presentation for which only three previous cases have been documented in the literature. In this case, we report the presentation of a 53-year-old male who had an Achilles tendon repair two and a half years prior and no clinical history of gout, yet during the necessary revision procedure of his Achilles tendon, he was found to have gouty tophi surrounding the nonabsorbable sutures used during his initial surgical repair. This case presentation and the three prior ones all involve the use of nonabsorbable sutures, and these sutures may potentially serve as a nidus for the formation of gouty tophi years after a surgical procedure, even in patients who do not have a clinical history of gout. It is important for clinicians to be aware of this rare clinical presentation as potential sequelae include infectious processes and the need for revision procedures.
跟腱修复术后数年，先前手术部位周围形成痛风石是一种极为罕见的情况，文献中仅记载过三例。在此病例中，我们报告了一名53岁男性，他在两年半前进行了跟腱修复，且无痛风临床病史，但在其跟腱必要的翻修手术过程中，发现其初次手术修复时使用的不可吸收缝线周围有痛风石。本病例报告及之前的三例均涉及不可吸收缝线的使用，这些缝线可能在手术数年之后成为痛风石形成的病灶，即便患者并无痛风临床病史。临床医生应了解这种罕见的临床表现，因为潜在的后遗症包括感染过程以及翻修手术的必要性。
