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Journal of Bone and Joint Surgery, 1961;43:731-774.
© 1961 by The Journal of Bone and Joint Surgery, Inc

The Surgery of Gout in the Upper Extremity

Lee Ramsay Straub M.D.1, James W. Smith M.D.1, George Kenyon Carpenter Jr. M.D.1, and George H. Dietz M.D.1

1 Departments of Orthopaedic and Plastic Surgery, The Hospital for Special Surgery, The New York-Cornell Medical Center, and the Veterans Administration Hospital (Bronx), New York

1. Despite the development of more effective uricosuric agents for the control of the manifestations of gout, there still remain patients who fail to respond to therapy and in whom crippling deformities develop.

2. An analysis of twenty-one patients indicates that a carefully planned surgical program may offer lasting benefits in tophaceous gout of the upper extremity.

3. Large deforming masses of tophaceous material can be advantageously removed.

4. Digital function may be significantly improved.

5. Chronic infections can be better controlled.

6. Disabilities resulting from tophaceous deposits in the flexor tendons may be corrected by resecting the involved portion of tendon or excising the tophaceous mass.


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