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Crystal-Induced Arthritis After Total Ankle Arthroplasty

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  • 1 Department of Orthopedic Surgery, Chonbuk National University Medical School, Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Hospital, Jeonju, Republic of Korea.
  • | 2 Department of Orthopedic Surgery, Presbyterian Medical Center, Jeonju, Republic of Korea.
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The causes of late-onset pain after total ankle replacement (TAR) are various, and include infection, subsidence, polyethylene spacer failure, osteolysis, and wear. There are few reports of late-onset pain caused by gouty attacks after total knee and hip arthroplasty. In addition, no research has reported gouty attacks after total ankle arthroplasty. Therefore, we report a case of a gouty attack after total ankle replacement. A 43-year-old man presented with pain after total ankle arthroplasty performed 5 years previously. We found a white-yellow crystalline deposit within the synovial tissue during ankle arthroscopy, confirmed by histologic examination.

Corresponding author: Kwang-Bok Lee, MD, Chonbuk National University Hospital, 20 Gunjiro, Deokjingu, Jeonju 54978, Republic of Korea. (E-mail: osdr2815@naver.com)