{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T00:42:49Z","timestamp":1792197769249,"version":"4.4.0"},"reference-count":5,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>We report a 58-year-old woman with no history of gout who subsequently developed gouty tophi around retained suture material identified 12 \u00bd years after repair of a ruptured Achilles tendon. The patient had intermittently developed an apparent postsurgical infection at and around the incision site. She had normal uric acid levels.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The diagnosis of gout was not confirmed until surgical exploration was performed 12 \u00bd years after the initial surgery. Awareness of such a rare incidence of surgical site gout would help clinicians in their management decisions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.19.00283","type":"journal-article","created":{"date-parts":[[2020,7,7]],"date-time":"2020-07-07T22:02:20Z","timestamp":1594159340000},"page":"e19.00283-e19.00283","source":"Crossref","is-referenced-by-count":7,"title":["Surgical Site Gout 12 Years After an Achilles Tendon Repair"],"prefix":"10.2106","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5242-4062","authenticated-orcid":false,"given":"Vincent C.","family":"Giani","sequence":"first","affiliation":[{"name":"Hawaii Island Family Medicine Residency Program, Hilo, Hawaii"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edward","family":"Gutteling","sequence":"additional","affiliation":[{"name":"Hilo Community Surgery Center and Hilo Orthopedics, Hilo, Hawaii"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020]]},"reference":[{"key":"bib1-20230720","doi-asserted-by":"crossref","first-page":"1271","DOI":"10.1136\/ard.2007.078683","article-title":"Clinical features and risk factors of postsurgical gout","volume":"67","author":"Kang","year":"2008","journal-title":"Ann Rheum Dis."},{"issue":"1","key":"bib3-20230720","first-page":"56","article-title":"Postsurgical gout","volume":"61","author":"Craig","year":"1995","journal-title":"Am Surg."},{"issue":"4","key":"bib4-20230720","doi-asserted-by":"crossref","first-page":"e93","DOI":"10.2106\/JBJS.CC.16.00076","article-title":"Nonsurgical treatment of aseptic periprosthetic gout flare of the knee: a report of 2 cases","volume":"6","author":"Foster","year":"2016","journal-title":"JBJS Case Connect."},{"issue":"3","key":"bib5-20230720","doi-asserted-by":"crossref","first-page":"e81","DOI":"10.2106\/JBJS.CC.N.00151","article-title":"Unusual complications associated with gout","volume":"4","author":"Swiontkowski","year":"2014","journal-title":"JBJS Case Connect."},{"issue":"5","key":"bib6-20230720","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1089\/sur.2008.062","article-title":"Chronic surgical site infection due to suture-associated polymicrobial biofilm","volume":"10","author":"Kathju","year":"2009 Oct","journal-title":"Surg Infect (Larchmt)."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.19.00283","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:46:46Z","timestamp":1787752006000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.19.00283"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2020]]},"references-count":5,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.19.00283","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020]]}}}