{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T06:07:44Z","timestamp":1782886064548,"version":"3.54.5"},"reference-count":11,"publisher":"Index Copernicus","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pol Przegl Chir"],"published-print":{"date-parts":[[2022,2,17]]},"abstract":"<b> Introduction:<\/b> Gouty tophi occur in approx. 50\u201360% of patients suffering from gout. Their occurrence is related to severity of disease and effectiveness of treatment. They develop more frequently in patients with long lasting and poorly controlled disease.<\/br><\/br> <b>Aim:<\/b> The aim of the study was to evaluate the results of surgical treatment of gouty tophi of the upper and lower extremities. <\/br><\/br> <b>Materials and methods:<\/b> The results of surgical treatment of gouty tophi in the extremities in 14 patients, 13 men and 1 woman, at a mean age of 51 years, are presented. Twelve patients had tophi localized in the upper extremities, whereas 3 had tophi in the lower limbs (1 patient had upper and lower extremity involved). The duration of disease to the operation was a mean of 8 years. <\/br><\/br><b> Results:<\/b> Seven patients received excision of a single tophus, and the remaining patients had 3\u201315 operations performed due to multiple tophi over a period from 3 months to 2 years. The treatment outcomes were assessed at a mean of 3 years (range 2\u20138) after the last operation in a form of phone interview. <\/br><\/br> <b>Conclusions:<\/b> All patients declared satisfaction from the result of treatment. No case of complication or tumor recurrence was noted. The results confirm usefulness of surgical treatment in this form of gout.\n\n<\/jats:p>","DOI":"10.5604\/01.3001.0015.7570","type":"journal-article","created":{"date-parts":[[2022,6,9]],"date-time":"2022-06-09T11:23:54Z","timestamp":1654773834000},"page":"18-22","source":"Crossref","is-referenced-by-count":3,"title":["Outcomes of surgery for gouty tophi in the extremities"],"prefix":"10.5604","volume":"94","author":[{"given":"Andrzej","family":"\u017byluk","sequence":"first","affiliation":[{"name":"Department of General and Hand Surgery, Pomeranian Medical University in Szczecin, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Filip","family":"Flici\u0144ski","sequence":"additional","affiliation":[{"name":"Department of General and Hand Surgery, Pomeranian Medical University in Szczecin, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3689","reference":[{"key":"227349r1","doi-asserted-by":"crossref","unstructured":"Kasper I.R., Juriga M.D., Giurini J.M. et al. : Treatment of tophaceous gout: When medication is not enough. 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Handchir Mikrochir Plast Chir, 1997; 29: 96\u2013100."},{"key":"227349r8","doi-asserted-by":"crossref","unstructured":"Aslam N., Lo S., McNab I.: Gouty flexor tenosynovitis of the digits: report of three cases. J Hand Surg Am, 2004; 29: 526.","DOI":"10.1016\/j.jhsa.2004.02.004"},{"key":"227349r9","doi-asserted-by":"crossref","unstructured":"Tajika T., Kuboi T., Mieda T. et. al.: Digital flexion contracture caused by tophaceous gout in flexor tendon. SAGE Open Med Case Rep, 2019; 7: 2050313X19844708.","DOI":"10.1177\/2050313X19844708"},{"key":"227349r10","doi-asserted-by":"crossref","unstructured":"Mittag F., Wuenschel M.: Giant gouty tophi of the hand and wrist. Orthope-dics., 2011; 34: e790\u2013e792.","DOI":"10.3928\/01477447-20110922-34"},{"key":"227349r11","doi-asserted-by":"crossref","unstructured":"\u017byluk A., Flici\u0144ski F.: Gouty tophus of the flexor tendon at the level of the wrist. Handchir Mikrochir Plast Chir, 2021; doi: 10.1055\/a-1691-9892. 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