Clinically Impressive Tophaceous Gout With Significant Bony Destruction.

To prevent complications of gout, health care providers should educate patients about its risks, institute regular checkups, and start medications early to control uric acid levels.

Subtalar joint arthrodesis.

Isolated subtalar joint arthrodesis has gained popularity more recently. Research has shown that it preserves rearfoot motion, does not increase the risk of arthritis in adjacent joints, and is not an especially complex operative procedure. It decreases the chance of midtarsal joint nonunion and malunion postoperatively.