首例采用可屈性铰链型人工关节置换治疗第一跖趾关节急性痛风性关节炎：病例报告

Acute gouty arthritis in a first metatarsophalangeal joint replaced with a flexible-hinge implant: a case report.

作者信息

Dabdoub W H, Short L A, Gudas C J

出版信息

J Foot Surg. 1981 Fall;20(3):167-9.

Abstract

Use of the flexible-hinge, double-stemmed implant has eliminated many of the complications that followed correction of an arthritic first metatarsophalangeal joint caused by hallux valgus. There were no reports in the literature of acute gout after this type of correction. The authors present such a case in a patient with a history of gout, and they suggest that, when a synovectomy is performed in a patient with gouty arthritis, the joint should be freed of synovial tissue in which a uric acid crystal-induced synovitis could occur.

摘要

使用柔性铰链双柄植入物消除了许多因拇外翻导致的关节炎性第一跖趾关节矫正术后出现的并发症。文献中没有关于此类矫正术后急性痛风的报道。作者介绍了一名有痛风病史患者的此类病例，并建议，当对痛风性关节炎患者进行滑膜切除术时，应清除关节内可能发生尿酸晶体诱导滑膜炎的滑膜组织。