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Revisiting an Old Surgical Approach to the management of Tophaceous Gout

Surgical Science 2017年第10期8卷 436-443页

作者： Lok Wah Noah So margaret woon man fok Kenny Yat Hong Kwan Kwok Keung Boris Fung Department of Orthopaedics and Traumatology Queen Mary Hospital Hong Kong China The University of Hong Kong Hong Kong China

The management of gouty tophi has generally shifted from surgical excision to conservative therapy due to surgery’s traditional association with high wound complication rate. Yet there are still patients who are indicated for surgical excision of gouty tophi, including for functional or cosmetic reasons. We describe our surgical technique and clinical outcomes in patients who underwent gouty tophi excision. This technique includes near complete excision of non-infected gouty tophi with preservation of important soft tissue structures. We have performed 44 elective tophi excision surgery in ten patients with an average follow-up of 29 months. The overall patients’ satisfaction rate was 90%. Only one post-operative infection was noted. No recurrence was observed. Our results suggested that this technique is a safe and effective option for a selected group of patients suffering from tophaceous gout.

关键词： Gout Tophus Surgical Procedures

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A Retrospective Study of Radiographic Anatomy of Wrist in Chinese Population

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E-Health Telecommunication Systems and Networks 2018年第3期7卷 57-65页

作者： Chris Yuk Kwan Tang Fung Kwok Keung Boris fok margaret woon man Lee Juliana Tsz Yan Aslam Muhammad Zeeshan Fang Benjamin Wong Joyce Yeung Kelvin Department of Orthopaedics and Traumatology University of Hong Kong Medical Centre Queen Mary Hospital Hong Kong China Department of Radiology Queen Mary Hospital Hong Kong China

In wrist pathology, there is a need to establish the normal range of radiographic measurement parameters. Previous study showed that the contralateral wrist might not be valid as a reference for all parameters. There is a lack of literature describing the normal range of wrist radiographic parameters in literature. As a result, a retrospective study was carried out. Patients who underwent standard wrist x-rays during the period February 2012 to February 2013 (one single year) were retrospectively reviewed. 71 patients were included. Scapholunate angle was 54.7° (±6.5°). Scapholunate interval was 2.0 mm (±0.4 mm). Ulnar variance was +1.0 mm (±1.8 mm). Carpal height was 31.8 mm (±3.0 mm). Radial inclination was 25.1° (±2.1°). All 71 patients had 1 sesamoid bone at first metacarpal. 16.9% (12 out of 71) patients had positive cortical ring signs. All these parameters are valuable clinically, especially in monitoring of the wrist disease progression, in the design of wrist implants and for future clinical research.

关键词： Radiographic Anatomy Wrist Chinese

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