Journal of Yeungnam Medical Science
- Volume 32 Issue 1
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- Pages.42-46
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- 2015
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- 2799-8010(eISSN)
DOI QR Code
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)
- 오창열 (포항성모병원 내과) ;
- 최정란 (포항성모병원 내과) ;
- 손민수 (포항성모병원 내과) ;
- 조선영 (포항성모병원 내과) ;
- 허준호 (포항성모병원 내과) ;
- 박정규 (포항성모병원 내과) ;
- 오동호 (포항성모병원 내과) ;
- 이영현 (포항성모병원 정형외과)
- 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.