title: [Clinical observation of arthroscopic debridement for acute gouty arthritis of the ankle].
abstract: OBJECTIVE
  To evaluate the effects of arthroscopic debridement for acute gouty arthritis of the ankle.
  
  
  METHODS
  Forty-one patients with acute gouty arthritis of the ankle were treated under arthroscopy from January 2010 to June 2012. All the patients were male, age in ranging from 28 to 69 years with an average of 43 years. Eighteen patients were in the left ankles and 23 in the right ankles; 12 cases were firstly attack and 29 cases were recurrent attack. Course of disease was from 2 weeks to 30 months. The American Orthopedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot Scale score was used to evaluate the clinical effects. Number of acute attacks of gouty arthritis were observed.
  
  
  RESULTS
  All the patients were followed up at least 12 months. The mean AOFAS Ankle-Hindfoot Scale score increased from 58.44 +/- 9.45 preoperatively to 86.15 +/- 7.36, 83.41 +/- 9.22, 84.10 +/- 8.22 postoperatively at 6, 12, months and the last follow-up respectively. Swelling of the ankle were improved significantly, pain was relieved and the mean number of acute attacks of gouty arthritis decreased significantly.
  
  
  CONCLUSIONS
  Arthroscopy is helpful for the diagnosis of acute gouty arthritis of the ankle and improvement of clinical symptoms and ankle function.
authors.forename: Hong-liang
authors.initials: HL
authors.lastname: Li
authors.forename: Shu-yuan
authors.initials: SY
authors.lastname: Li
authors.forename: Chun-bao
authors.initials: CB
authors.lastname: Li
authors.forename: Wei
authors.initials: W
authors.lastname: Qui
authors.forename: Feng
authors.initials: F
authors.lastname: Qu
authors.forename: Qi
authors.initials: Q
authors.lastname: Guo
authors.forename: Xue-zhen
authors.initials: XZ
authors.lastname: Shen
authors.forename: Xi
authors.initials: X
authors.lastname: Lu
authors.forename: Yu-jie
authors.initials: YJ
authors.lastname: Liu
authors.forename: Min
authors.initials: M
authors.lastname: Wei
mesh_terms: D000328:Adult; D000368:Aged; D000843:Ankle Joint / Q000503:physiopathology / Q000601:surgery; D015210:Arthritis, Gouty / Q000503:physiopathology / Q000601:surgery*; D001182:Arthroscopy; D003646:Debridement; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome