The Journal of the Korean Bone and Joint Tumor Society  2012;18(2):83-88

doi:10.5292/jkbjts.2012.18.2.83

Thin Split-Thickness Toe Nail-Bed Grafts for Nail Bed Defects in Subungal Exostosis: Two Cases Report.

In Suk OH 1 ; Chang Hee KIM ; Jong Sun CHOI ; Sang Hyeong LEE

Affiliations

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Keywords

subungal exostosis; postoperative deformity; nail bed graft

Country

Republic of Korea

Language

Korean

Abstract

We reviewed the clinical features of 2 patients who underwent surgery for subungal exostosis, focusing on postoperative deformity of the nail. The lesion destroyed the nail bed and was excised with a direct approach. then thin split-thickness sterile matrix graft was done after excision of the tumor because the defect of the nail bed was large. Good postoperative appearance of the nail was obtained by thin split-thickness sterile matrix graft. The use of thin split-thickness sterile matrix graft for the replacement of a nail bed defect can regain a smooth, adherent, and normal-looking nail and avoid donor-site morbidity. Thin split-thickness toe-nail bed graft is a good choice for the prevention of postoperative deformity.