{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T06:10:35Z","timestamp":1782886235356,"version":"3.54.5"},"reference-count":17,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2009,2,1]],"date-time":"2009-02-01T00:00:00Z","timestamp":1233446400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2009,2,1]],"date-time":"2009-02-01T00:00:00Z","timestamp":1233446400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2009,2]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Twenty\u2010eight male patients with hyperuricemia (&gt;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\u2010up period (mean \u00b1 standard deviation) was 3.9 \u00b1 1.1 years in group 1 and 2.4 \u00b1 0.3 years in group 2.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>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\u2010Hindfoot Scale. On both measures, the results for group 1 were significantly better than those for group 2.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, therapeutic case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2008.09.002","type":"journal-article","created":{"date-parts":[[2009,1,27]],"date-time":"2009-01-27T05:15:08Z","timestamp":1233033308000},"page":"153-158","source":"Crossref","is-referenced-by-count":45,"title":["Arthroscopic Elimination of Monosodium Urate Deposition of the First Metatarsophalangeal Joint Reduces the Recurrence of Gout"],"prefix":"10.1002","volume":"25","author":[{"given":"Chih\u2010Chien","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Tri\u2010Service General Hospital School of Medicine National Defense Medical Center Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shiu\u2010Bii","family":"Lien","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Tri\u2010Service General Hospital School of Medicine National Defense Medical Center Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guo\u2010Shu","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Radiology Tri\u2010Service General Hospital School of Medicine National Defense Medical Center Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ru\u2010Yu","family":"Pan","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Tri\u2010Service General Hospital School of Medicine National Defense Medical Center Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hsain\u2010Chung","family":"Shen","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Tri\u2010Service General Hospital School of Medicine National Defense Medical Center Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chun\u2010Lin","family":"Kuo","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Tri\u2010Service General Hospital School of Medicine National Defense Medical Center Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pei\u2010Hung","family":"Shen","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Tri\u2010Service General Hospital School of Medicine National Defense Medical Center Taipei 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