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Published on: January 16, 2011
A novel management strategy for subungual exostosis
Mark P DaCambra1, Sumit K Gupta, Fabio Ferri-de-Barros
1Department of Orthopaedic Surgery, University of British Columbia, New Westminster, British Columbia, Canada. mdacambra@gmail.com
BMJ Case Reports
|September 3, 2013
Summary
Subungual exostosis, a benign bone tumor, can impact quality of life. Novel use of a vacuum-assisted closure (VAC) device after surgical excision led to successful nail regrowth and tissue repair.
Area of Science:
- Orthopedics
- Dermatology
- Podiatry
Background:
- Subungual exostosis is a rare benign bone tumor affecting the toes, particularly in young individuals.
- It can significantly impair health-related quality of life due to pain and cosmetic concerns.
Observation:
- A case of subungual exostosis in the hallux of a young Caucasian girl is presented.
- Surgical excision of the lesion resulted in a substantial defect of the nail bed and surrounding skin folds.
Findings:
- A pedicled vacuum-assisted closure (VAC) device was employed postoperatively to manage the tissue deficit.
- At one-year follow-up, complete nail regrowth and tissue regeneration were observed, with no recurrence of the tumor.
Implications:
- This case highlights the successful novel application of VAC devices in managing postoperative wound complications following subungual exostosis excision.
- The technique offers a promising approach for achieving optimal functional and cosmetic outcomes in similar cases.
