Welcome to the Podiatry Arena forums

You are currently viewing our podiatry forum as a guest which gives you limited access to view all podiatry discussions and access our other features. By joining our free global community of Podiatrists and other interested foot health care professionals you will have access to post podiatry topics (answer and ask questions), communicate privately with other members, upload content, view attachments, receive a weekly email update of new discussions, access other special features. Registered users do not get displayed the advertisements in posted messages. Registration is fast, simple and absolutely free so please, join our global Podiatry community today!

  1. Have you considered the Clinical Biomechanics Boot Camp Online, for taking it to the next level? See here for more.
    Dismiss Notice
Dismiss Notice
Have you considered the Clinical Biomechanics Boot Camp Online, for taking it to the next level? See here for more.
Dismiss Notice
Have you liked us on Facebook to get our updates? Please do. Click here for our Facebook page.
Dismiss Notice
Do you get the weekly newsletter that Podiatry Arena sends out to update everybody? If not, click here to organise this.

Surgery for subungual osteochrondrois

Discussion in 'Foot Surgery' started by m.e. mcgowan, Mar 27, 2010.

  1. m.e. mcgowan

    m.e. mcgowan Member


    Members do not see these Ads. Sign Up.
    Pt. has a reoccuring osteochrondosis/subungal exostosis 10 yo. This has been removed once 2 months ago another dpm wants to amputate the distal end of the hallux, I would like to try to remove the tumor and currette the bone to make a dell inthe bone, if so what incision would be best remove the nail and go through the nail bed or at the distal end of the great toe? Thanks for your help.
     
  2. drsarbes

    drsarbes Well-Known Member

    Hi M.E.

    All depends on the location and type of "exostosis"

    If it's at the distal tuft and more just an hyperostosis, a fish mouth incision is the preferred method through the distal end. It is much less painful then one might think going through the end of the toe, and does not interfere with the nail structures.

    If it's further back, say mid distal phalanx, you can still use a distal approach but you need to get more dorsal and closer to the end of the nail plate. Be careful underscoring and just keep very close to the bone so as not to disrupt the nail structures. Some of these are quite large and protrude through the nail plate, in which case it's just easier to do a nail avulsion and go from there.

    A distal Syme (amputating the end of the toe, usually half the distal phalanx) and taking the nail matrix with it is a very successful procedure as well. It leaves you a short, bald toe - the George Castanza of halluxes!

    Hope that helps.

    Steve
     
  3. m.e. mcgowan

    m.e. mcgowan Member

    Thank you, that helps alot.
     
Loading...

Share This Page