Abstract
Objective To investigate the application of debridement under arthroscopy in the diagnosis and treatment of gout arthritis in ankle.Methods A total of 16 patients with gouty arthritis in ankle were diagnosed by arthroscopy between September 2007 and August 2011.The urate crystal stones deposited on the surface of cartilage were removed by radiofrequency evaporating apparatus and curettes.The hyperplastic synovium and the urate crystal deposited on it were cut by the shavers under arthroscopy.The joint debridement,cartilage repair were done at the same time.Irrigation of normal saline was used before the end of the surgery.Diet and drug therapy were continued after the operation.Postoperative joint function exercise were emphasized.Results Acute gouty arthritis did not occur in 16 patients in 3 months to 18 months follow-up.The ankle functions of 16 patients were improved.Conclusions The treatment of gout arthritis in ankle with debridement under arthroscopy has advantages of small incision and quicker recovery was also an effective method. Key words: Gouty arthritis; Arthroscopy; Ankle
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