A Novel Use of Umbilical Perinatal Graft in Subungual Exostosis Resection
| Autor: | Chen-An Wang, Zachary Sax, Roger Lee Kilfoil, Juan Carlos Goez, Farzana Arif |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Bone growth
030222 orthopedics medicine.medical_specialty Osteochondroma business.industry Pyogenic granuloma Clinical course Bone Neoplasms General Medicine Subungual exostosis medicine.disease Surgery Resection 03 medical and health sciences Nail Diseases 0302 clinical medicine Nails 030220 oncology & carcinogenesis medicine Humans business Wound healing Exostoses Exostosis Ingrown nail |
| Zdroj: | Journal of the American Podiatric Medical Association. 110(4) |
| ISSN: | 1930-8264 |
| Popis: | Nail pathologies have a broad range of origin and may sometimes be complicated in presentation or clinical course, specifically when the pathology remains recalcitrant after treatment. In this case report we discuss a pathologic disorder that was initially misdiagnosed as a pyogenic granuloma surrounding an ingrown nail but was later found to be a benign neoplastic bone growth, Dupuytren exostosis, also known as a subungual exostosis. Operative treatment was deemed appropriate for the patient, and the exostosis was resected, leaving a soft-tissue void at the distal toe. The remaining void was filled with a perinatal graft, the use of which has been deemed effective anecdotally in both chronic and acute lower-extremity wounds but has not been widely discussed in the lower-extremity literature. This graft was placed to aid in wound healing over a potentially difficult wound bed. As amniotic, chorionic, and umbilical grafts become more prevalent in lower-extremity surgery, its antitumor effects should be further explored and published. This is the first case report, to our knowledge, of the successful use of a perinatal graft in the setting of a bone tumor, and it demonstrates that certain benign neoplasms can be treated with resection and placement of a perinatal graft while helping to prevent chronic wounds at surgical sites. |
| Databáze: | OpenAIRE |
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