AI Article Synopsis
- * This phenomenon has been noted in only three documented cases, all involving nonabsorbable sutures, suggesting they might trigger gouty tophi formation even years later.
- * Clinicians should be aware of this unusual complication, as it could lead to infections and the necessity for additional surgeries.
Article Abstract
The formation of gouty tophi surrounding the prior surgical site years after an Achilles tendon repair is an extremely rare presentation for which only three previous cases have been documented in the literature. In this case, we report the presentation of a 53-year-old male who had an Achilles tendon repair two and a half years prior and no clinical history of gout, yet during the necessary revision procedure of his Achilles tendon, he was found to have gouty tophi surrounding the nonabsorbable sutures used during his initial surgical repair. This case presentation and the three prior ones all involve the use of nonabsorbable sutures, and these sutures may potentially serve as a nidus for the formation of gouty tophi years after a surgical procedure, even in patients who do not have a clinical history of gout. It is important for clinicians to be aware of this rare clinical presentation as potential sequelae include infectious processes and the need for revision procedures.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11436267 | PMC |
| http://dx.doi.org/10.1155/2024/8878405 | DOI Listing |
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