Gout is a condition characterized by the deposition of @entity414 crystals in the joints or soft tissue. A gouty tophus occasionally mimics an infectious or @entity5 . However, the conventional enucleating procedure might cause complications. In severe cases, @entity39 and tendon or joint exposure can occur after debridements. In this series, the soft-tissue shaver is used for deformity management of the chronic tophaceous @entity1 and the results are encouraging. From November 2000 to August 2002, 17 @entity1 with @entity102 were treated by the shaver technique. Suction and irrigation were performed simultaneously while the shaver was operating, and chalky deposits of @entity414 could be removed efficiently. Skin @entity39 was minimized by means of proper incision planning. Also, bedside debridements and wound wet dressing were helpful for improving the outcomes. The families and @entity1 were satisfied with the results. In conclusion, severe @entity102 can be a surgical challenge. The soft-tissue shaving technique can be useful for cosmetic debulking of large tophi in @entity1 with advanced chronic @entity3811 .

The soft-tissue shaving procedure for deformity management of XXXX .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity39 :: ('MESH:D009336', 'Disease') :: ['necrosis', 'skin necrosis'] @entity5 :: ('MESH:D009369', 'Disease') :: ['neoplastic process'] @entity3811 :: ('MESH:D015210', 'Disease') :: ['tophaceous gouty arthritis'] @entity102 :: ('MESH:D002908', 'Disease') :: ['chronic tophaceous gout'] @entity414 :: ('MESH:D014527', 'Chemical') :: ['monosodium urate', 'sodium urate']
@entity102 :: (MESH:D002908,Disease) :: ['chronic tophaceous gout']
