Khezami Mounira, Abdennadher Achraf, Bellaaj Hiba, Znagui Talel, Hamdi Mounir, Nouisri Lotfi
Service d'Orthopédie Traumatologie Hôpital Militaire Principal d'Instruction de Tunis, Tunisie.
Pan Afr Med J. 2018 Apr 26;29:229. doi: 10.11604/pamj.2018.29.229.14165. eCollection 2018.
We conducted a retrospective study of 35 patients with subungual exostosis of the hallux, also known as Turrett's exostosis, in the Department of Orthopedics and Traumatology at the Senior Military Hospital of Instruction of Tunis over the period between 1995 and 2015. We here summarize the outcomes of patients treated for this disease. The average age of patients was 29 years, with a sex ratio of 1.7. The median consultation time was six months. This delay in consultation was caused by a diagnostic error due to clinical picture resemblance with ingrown nail. Diagnosis was always confirmed by frontal and profile X-ray of the involved hallux. Treatment was based on total resection of the exostosis either through large ungual window or by latero-ungual approach. Anatomo-pathological examination was performed systematically. It allowed to confirm the benignity of the disease in all cases. All patients recovered and returned to their previous activity, on average, in 2 months. No patient had a recurrence.
1995年至2015年期间，我们在突尼斯高级军事教学医院的骨科和创伤科对35例拇趾甲下外生骨疣（也称为图雷特外生骨疣）患者进行了一项回顾性研究。我们在此总结了接受该疾病治疗的患者的治疗结果。患者的平均年龄为29岁，性别比为1.7。中位就诊时间为6个月。就诊延迟是由于临床表现与嵌甲相似导致诊断错误所致。诊断总是通过受累拇趾的正位和侧位X线片得以证实。治疗基于通过大的甲窗或甲旁入路对外生骨疣进行完全切除。系统地进行了解剖病理检查。这使得在所有病例中均能证实该疾病的良性性质。所有患者均康复，平均在2个月后恢复到之前的活动状态。没有患者复发。
