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.
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July/August 2020
Research Article|
September 30 2020
A Novel Use of Umbilical Perinatal Graft in Subungual Exostosis Resection
Roger Lee Kilfoil, Jr, DPM;
Corresponding author: Roger Lee Kilfoil, Jr, DPM, Department of Surgery, South Nassau Communities Hospital, 830A Atlantic Ave, Baldwin, NY, 11755. (E-mail: Rogerkilfoiljr@gmail.com)
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J Am Podiatr Med Assoc (2020) 110 (4): Article_12.
Citation
Juan Carlos Goez, Roger Lee Kilfoil, Chen-An Wang, Zachary Sax, Farzana Arif; A Novel Use of Umbilical Perinatal Graft in Subungual Exostosis Resection. J Am Podiatr Med Assoc 1 July 2020; 110 (4): Article_12. doi: https://doi.org/10.7547/17-207
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