title: A novel management strategy for subungual exostosis.
abstract: Subungual exostosis is a relatively uncommon benign bone tumour that mostly affects the toes of young people and can be a source of significant impact on health-related quality of life. Treatment consists of marginal excision and meticulous wound closure. We presented a case of subungual exostosis in the hallux of a young Caucasian girl. Once diagnosed, the lesion was completely excised leaving a sizable defect in the nail bed and skin folds. A pedicled vacuum assisted closure (VAC) device was used postoperatively in an attempt to minimise the tissue deficit. At 1-year follow-up, the nail had regrown and tissue reformed producing an optimal functional and cosmetic result with no recurrence. Postoperative wound complications in the setting of subungual exostosis are significant and a great variability exists in their appropriate management. We presented the novel use of the VAC device in the successful management of subungual exostosis.
authors.affiliation: Department of Orthopaedic Surgery, University of British Columbia, New Westminster, British Columbia, Canada. mdacambra@gmail.com
authors.forename: Mark P
authors.initials: MP
authors.lastname: DaCambra
authors.forename: Sumit K
authors.initials: SK
authors.lastname: Gupta
authors.forename: Fabio
authors.initials: F
authors.lastname: Ferri-de-Barros
mesh_terms: D000293:Adolescent; D001859:Bone Neoplasms / Q000601:surgery*; D005096:Exostoses / Q000601:surgery*; D005260:Female; D006214:Hallux; D006801:Humans; D009260:Nail Diseases / Q000601:surgery*; D054843:Negative-Pressure Wound Therapy / Q000379:methods*; D015831:Osteochondroma / Q000601:surgery*; D016896:Treatment Outcome