• Sheng Mei, Xin Zheng, Jingsong Kong, Yang Huang, and Chen Tao.
• Orthopaedics Center, Taizhou Municipal Hospital, Taizhou.
• Medicine (Baltimore). 2021 Feb 5; 100 (5): e22537e22537.

RationaleGout can cause redness, swelling, local heat, severe pain, and limitation of function of the affected joints and surrounding tissues. Gouty tophi are commonly found in the auricle, joints, Achilles tendon and tarsal bursa. However, gouty tophi rarely affect the talus.Patient ConcernsWe report a case of a 35-year-old man with a history of a sprained left ankle (six years before presentation), who presented with atraumatic and progressive pain, which the patient has been experiencing for a year.DiagnosisThe patient was diagnosed with ankle pain with a gouty stone in the talus.InterventionsThe patient was treated with autologous osteochondral transplantation.OutcomesDuring the two-year follow-up period, the patient's ankle joint underwent functional recovery and pain relief. Furthermore, the patient's Baird-Jackson ankle score improved from 80 to 95.LessonsThe gold standard for the diagnosis of gouty tophus in the talus is intraoperative arthroscopy and pathology. The presented case achieved satisfactory clinical effects with autologous osteochondral transplantation as the treatment for gouty tophus in the talus, and obtained an ideal hyaline cartilage repair with restored ankle joint function.Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc.

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