12 Questions
What is the primary target in the medical management of gouty tophi?
Dissolving MSU crystals
What is a significant concern when starting medical therapy for tophi?
Patient resistance
What is the primary advantage of newer techniques like arthroscopic debridement and endoscopic resection over open debridement?
Require less postoperative wound care
In the medical management of gouty tophi, what can high sUA levels cause?
Supersaturation of urate
What is a common preventative measure for acute gouty tophus flare in medical management?
Increased dose of NSAIDs
When should prophylaxis with colchicine last in the management of gouty tophi?
3-6 months
What is a potential issue with surgical excision of tophi over a joint?
It can lead to acute gout flare
What is a limitation of lesion excision as a surgical option for tophaceous gout?
Rapid lesion recurrence rates
Why should surgical excision of tophi be performed in close consultation with a rheumatologist?
To manage and prevent acute gout flares
Which surgical method is more effective for chronic tendinous tophi?
Tendon release or transfer
What may still remain in surrounding soft tissues after surgical options like joint arthroplasty are performed?
Tophaceous material and chronic synovitis
What is an effect observed when excising larger tophi according to Kolker et al.'s study?
Predictable healing and pain alleviation
Explore the surgical options available for patients with advanced tophaceous gout and chronic joint pain, including joint arthroplasty, joint fusion, and surgical excision of tophi. Learn how these procedures can help resolve gouty symptoms and eradicate inflammation in affected areas.
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