Yeungnam Univ J Med.
2015 Jun;32(1):42-46. 10.12701/yujm.2015.32.1.42.
Use of post-operative negative-pressure wound therapy for gouty ulcer
- Affiliations
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- 1Department of Internal Medicine, Pohang Saint Mary's Hospital, Pohang, Korea. rheumatis@hanmail.net
- 2Department of Orthopedic Surgery, Pohang Saint Mary's Hospital, Pohang, Korea.
- KMID: 2138643
- DOI: http://doi.org/10.12701/yujm.2015.32.1.42
Abstract
- Gouty ulcer can be caused by the accumulation of clumps of uric acid in body tissues that lead to acute or chronic inflammation at sites of accumulation. Furthermore, tophi-inhibiting granulation tissue may form a canal that channels microbial infection from the underlying involved joint space, and thus, presents the risk of osteomyelitis development. Accordingly, gouty ulcer must be treated appropriately. In this case, refractory wounds on gouty ulcers at the left shin and left radial ankle were treated by surgical debridement. Negative-pressure wound therapy was used successfully to prevent post-operative delayed wound healing.
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