Arthroscopic Elimination of Monosodium Urate Deposition of the First Metatarsophalangeal Joint Reduces the Recurrence of Gout

Chih Chien Wang, Shiu Bii Lien, Guo Shu Huang, Ru Yu Pan, Hsain Chung Shen, Chun Lin Kuo, Pei Hung Shen, Chian Her Lee

Research output: Contribution to journalArticle

28 Citations (Scopus)


Purpose: To determine if the arthroscopic removal of gouty crystal deposits from the first metatarsophalangeal (MTP) joint will reduce the recurrence rate and improve foot function compared to medical treatment alone. Methods: Twenty-eight male patients with hyperuricemia (>7.0 mg/dL) and repeated attacks of gouty arthritis of the first MTP joint were included in this study. Arthroscopic intervention of the first MTP joint was performed on 15 patients (group 1), while the other 13 patients were treated with medication alone (group 2). The follow-up period (mean ± standard deviation) was 3.9 ± 1.1 years in group 1 and 2.4 ± 0.3 years in group 2. Results: After treatment, both groups showed a significant improvement in the number of acute attacks of gouty arthritis and in their functional scores on the American Orthopaedic Foot and Ankle Society Ankle-Hindfoot Scale. On both measures, the results for group 1 were significantly better than those for group 2. Conclusions: Arthroscopic removal of gouty crystals from the first MTP joint can reduce the rate of acute repeated attacks of gouty arthritis and increase foot and ankle function. Level of Evidence: Level IV, therapeutic case series.

Original languageEnglish
Pages (from-to)153-158
Number of pages6
JournalArthroscopy - Journal of Arthroscopic and Related Surgery
Issue number2
Publication statusPublished - Feb 2009
Externally publishedYes



  • Arthroscopy
  • First metatarsophalangeal joint
  • Gout
  • Monosodium urate
  • Recurrence rate
  • Tophi

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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