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Use of post-operative negative-pressure wound therapy for gouty ulcer

통풍성 궤양의 수술적 절제 후 음압배액법을 통한 치료

  • Oh, Chang Yul (Department of Internal Medicine, Pohang Saint Mary's Hospital) ;
  • Choi, Jung Ran (Department of Internal Medicine, Pohang Saint Mary's Hospital) ;
  • Son, Min Su (Department of Internal Medicine, Pohang Saint Mary's Hospital) ;
  • Jo, Sun Young (Department of Internal Medicine, Pohang Saint Mary's Hospital) ;
  • Hur, Jun Ho (Department of Internal Medicine, Pohang Saint Mary's Hospital) ;
  • Park, Jung Gyu (Department of Internal Medicine, Pohang Saint Mary's Hospital) ;
  • Oh, Dong Ho (Department of Internal Medicine, Pohang Saint Mary's Hospital) ;
  • Yi, Young Hyun (Department of Orthopedic Surgery, Pohang Saint Mary's Hospital)
  • Received : 2014.03.01
  • Accepted : 2014.06.20
  • Published : 2015.06.30

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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