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Case Reports
. 2016 Nov;10(3):58-59.
doi: 10.5704/MOJ.1611.015.

Tophaceous Gout simulating infected Ankle Implants

K Ioannis  1 , P Ippokratis  1 , T Nazzar  1
Affiliations
Case Reports

Tophaceous Gout simulating infected Ankle Implants

K Ioannis et al. Malays Orthop J. 2016 Nov.

Erratum in

  • Errata.
    [No authors listed] [No authors listed] Malays Orthop J. 2021 Mar;15(1):156. Malays Orthop J. 2021. PMID: 33880167 Free PMC article.
  • Errata.
    [No authors listed] [No authors listed] Malays Orthop J. 2021 Jul;15(2):185. Malays Orthop J. 2021. PMID: 34429842 Free PMC article.

Abstract

Gout is a well known metabolic disorder characterized by the formation of urate crystals in joints resulting in recurrent attacks of acute inflammatory arthritis following which tophi can occur in joints or subcutaneous tissues. We report a rare localization of gouty tophi in a 52 years old male. The tophi had formed over the stainless steel implant used for the fixation of a lateral malleolus fracture 20 years ago.

Keywords: Gout; ankle fracture; implants; tophi.

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Figures

Fig. 1
Fig. 1
(A) Tophaceous gout simulating infected ankle metalwork. (B) AP and lateral radiograph of the patient’s ankle revealing intact metalwork and no signs of osteomyelitis. (C) Initial presentation characterized by a fluctuant swelling over the lateral malleolus associated with cellulitis. (D) Intraoperative the existence of tophi was noted but no evidence of infection.
See this image and copyright information in PMC

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