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Surgical Treatment of a Young Patient with Bilaterally Destroyed First Metatarsophalangeal Joints Suffering from Gout

Markus Wünschel Department of Orthopaedic Surgery, University Hospital Tuebingen, Germany.

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Nikolaus Wülker Department of Orthopaedic Surgery, University Hospital Tuebingen, Germany.

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Christian Walter Department of Orthopaedic Surgery, University Hospital Tuebingen, Germany.

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The authors present an unusual case of untreated gout leading to major bony destructions in both metatarsophalangeal joints, leading to joints of enormous dimensions. If untreated, gout can cause disabling destructions with direct influence on both private and working life, even in young patients. In potentially noncompliant patients, simple surgical procedures and postoperative regimes are valuable treatment options resulting in acceptable clinical results. (J Am Podiatr Med Assoc 102(4): 334–337, 2012)

Corresponding author: Christian Walter, MD, Universität Tü bingen Orthopä die Hoppe-Seylerstr. 3 Tü bingen, 72076 Germany. (E-mail: IC.Walter@t-online.de)