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. Everything that you are ever going to want to know about running shoes: Running Shoes Boot Camp Online, for taking it to the next level? See here for more.
    Dismiss Notice
  2. Have you considered the Critical Thinking and Skeptical Boot Camp, for taking it to the next level? See here for more.
    Dismiss Notice
  3. 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.

Hypergranulation after Nail Surgery

Discussion in 'Foot Surgery' started by Jp Scholer, Mar 3, 2012.

  1. Jp Scholer

    Jp Scholer Member


    Members do not see these Ads. Sign Up.
    Hi there,

    7 weeks ago, I performed a PNA with phenolisation on a male patient, 20 years old. The same proecedure had been performed on the patient last year but unfortunately not enough of the nail was removed and I had to redo it. Anyway, there were no complications.
    For 1-2 weeks now, there has been hypergranulation from the wound, and it also appeared infected. I advised the patient to get antibiotics from his GP, which he did. The hypergranulation tissue did not disappear. I have now applied silver nitrate, but thought I would ask whether anyone's got any thoughts on this... Like, how often do you usually apply the silver nitrate?
    Understandably, after several months with this, the patient is finding te experience increasingly distressing...
     
  2. W J Liggins

    W J Liggins Well-Known Member

    At 7 weeks post-op it is probable that the condition is arising from a 'crease' in the nail caused by temporary damage in the process of the procedure. As this crease grows with the nail, it can penetrate the ungulabia resulting in a granuloma. It will grow out in due course.

    Hope that this helps

    Bill Liggins
     
  3. Jose Antonio Teatino

    Jose Antonio Teatino Well-Known Member

    I agree with Liggins.
    I call it "scale" to this effect, the growth yield, but may speed healing from a gouge or knife cutting espiculotomía practicing.
    This procedure is usually not necessary to apply a local anesthetic.
    greetings:
    Jose Antonio Teatino.
    Full Professor of Surgery
    The Academy of Ambulatory Foot & Ankle Surgery
     
  4. Jose Antonio Teatino

    Jose Antonio Teatino Well-Known Member

    A picture is worth a thousand words.
    Sorry my bad English
     

    Attached Files:

  5. W J Liggins

    W J Liggins Well-Known Member

    Gracias.

    Mejor que mi Espanol!

    Bill
     
  6. Jp Scholer

    Jp Scholer Member

    many thanks for all the useful replies! I have the patient come in on Wednesday, so will be able to have a close look. and yes, i agree with bill, i wish everyone's spanish was as good as your english! mine isn't either unfortunately!
     
  7. Jose Antonio Teatino

    Jose Antonio Teatino Well-Known Member

    Google's automatic translator works miracles ...
     
  8. Jp Scholer

    Jp Scholer Member

    Since both you have been very helpful in this, I thought I'd just post a quick update in case you are interested. The silver nitrate has reduced the hypergran, and the area looks all clear. I am confident it will still heal normally. Infection has been resolved as well, and redness has effectively disappeared.

    Thanks again!
     
Loading...

Share This Page