Arthroscopic surgery for ankle gouty arthritis: a retrospective analysis of clinical outcomes at six month follow-up based on a novel classification system

医学 脚踝 骨科手术 痛风 关节炎 外科 可视模拟标度 回顾性队列研究 关节镜检查 痛风性关节炎 尿酸 痹症科 内科学
作者
Baozhou Zhang,Ying Li,Xiaosong Yang,Xiaofeng Gong,Ning Sun,Liangpeng Lai,Wenjing Li,Yong Wu
出处
期刊:International Orthopaedics [Springer Nature]
卷期号:48 (4): 1031-1037 被引量:3
标识
DOI:10.1007/s00264-023-06057-5
摘要

Abstract Purpose This study aimed to evaluate the clinical outcomes, patient-reported outcomes, and recurrence rate of patients diagnosed with ankle gouty arthritis who underwent arthroscopic surgery based on the new classification. Methods A total of 51 patients diagnosed with ankle gouty arthritis were included in this retrospective study. A new classification was proposed based on the location and extent of MSU crystal deposition under an arthroscopy view. Patients are classified into different types and underwent arthroscopic surgery accordingly. The primary outcome measure was the American Orthopaedic Foot & Ankle Society (AOFAS) ankle-hindfoot score. The secondary outcomes included the visual analog pain scale (VAS), serum uric acid levels, and the recurrence rate of ankle gouty arthritis at one year postoperatively. Results Based on the new classification, five patients were Type I, 24 patients were Type II, five were Type III A, six were Type III B, and 11 were Type IV. The average follow-up time was 23.5 ± 10.9 months. The AOFAS hindfoot-ankle score improved significantly from 70.3 ± 15.9 to 85.6 ± 13.0 ( p < 0.01). The mean serum uric acid level was significantly decreased from 442.0 ± 109.2 to 540.5 ± 132.4 ( p < 0.01). The average VAS scale decreased from 3.8 ± 1.9 to 1.4 ± 1.7 ( p < 0.01). The median of recurrences in one year postoperatively was significantly decreased from 1.5 (1, 3.75) to 0 (0, 0.75) ( p < 0.01). Conclusion A new classification strategy for ankle gouty arthritis based on arthroscopic view was proposed. Patients with ankle gouty arthritis showed significant improvement in ankle function and pain relief after undergoing arthroscopic surgery driven by the new classification.

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