Journal of the Korean Arthroscopy Society (대한관절경학회지)
- Volume 3 Issue 2
- /
- Pages.155-158
- /
- 1999
- /
- 1226-9352(pISSN)
The Arthroscopic Treatment of Chronic Gouty Arthritis -The case unresponsive to conservative treatment that associated with acute inflammation- -Report of one case-
만성 통풍성 관절염 환자의 관절경적 치험 - 급성 염증이 병발되어 보존적 치료에 반응하지 않는 경우 - - 증례 보고 -
- Kang, Jae Do (Department of Orthopaedic Surgery, Wallace Memorial Baptist Hospital) ;
- Kim, Hyung Chun (Department of Orthopaedic Surgery, Wallace Memorial Baptist Hospital) ;
- Kim, Jin Hyung (Department of Orthopaedic Surgery, Wallace Memorial Baptist Hospital)
- Published : 1999.12.30
Abstract
Recently arthroscopic procedure was introduced into an effective method when chronic gouty arthritis associated with acute inflammation is unresponsive to conservative treatment. The purpose of this study is to cvaluate the efficacy of tophi excision during this procedure. We tried to excise tophi which were known as one of causative materials of acute inflammation as much as possible. We report one case of chronic tophaceous gouty arthritis of the right knee which was satisfactorily treated without recurrence during more than one year after this arthroscopic procedure.
보존적인 치료에 반응하지 않는 급성 염증이 동반된 만성 통풍성 관절염의 치료에 있어 최근 관절경을 통한 시술이 효과적인 것으로 보고되고 있으며 그 시술시 내외적인 여러 요인에 의한 급성 증세발현의 원인인자인 것으로 알려져 있는 통풍결절을 제거한 후 1년의 추시 관찰 결과 증상의 재현이 없어 증례와 함께 보고하는 바이다.