INDIVIDUALIZED TREATMENT FOR GOUT STONES OF HAND

Jin Yang^*, Huabing He, Yongfeng Tang, Yan Wang

Department of hand and foot surgery, Yiwu Central Hospital, Yiwu, Zhejiang 322000, China

Objective: The present study aims to explore the clinical efficacy and expertise of individualized treatment for gout stones of hand. 

Methods: Between January 2007 and March 2019, a total of 55 patients with gout stones in hand were enrolled to perform the following surgeries: 24 patients received the single resection of gout stones, 15 received the single resection of gout stones with tendon transplantation, 7 received the single resection of gout stones with tendon transplantation and joint fusion, while for the remaining 4 patients, finger amputation was conducted. Within one week after surgery, patients were required to take colchicine orally, three times per day, 0.5 mg/time. 

Results: Following surgery, all gout stones were removed, with the correction of finger deformity and no cutaneous necrosis. Finally, 53 patients experienced primary healing, and 2 patients experienced delayed healing. Among all of the patients, 49 patients fulfilled the follow up, while 6 failed to do the follow up. During the follow-up, ranging from 6 months to 3 years, 49 patients were satisfied with the appearance and function of fingers, 3 of whom had the recurrence of gout stones in hands.

Conclusion: Appropriate protocol of surgery should be developed in light of the characteristics of gout stones of hand in different patients; this is likely to eliminate the gout stones in hand and correct the deformity and appearance of finger, with improved finger function. Besides, postoperative medical treatment is also an effective method for treating the gout stones in hand.