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Onychogryphosis.
Journal of the American Podiatric Medical Association
|October 6, 2020
Summary
Subcutaneous flap coverage after total matricectomy effectively treats onychogryphosis (thickened, curved nails) of the great toe, preserving toe length without tight skin closure.
Area of Science:
- Podiatric surgery
- Dermatology
- Nail disorders
Background:
- Onychogryphosis is a common toe nail disorder resulting from repeated trauma.
- Optimal treatment strategies for onychogryphosis remain under investigation.
- This condition can lead to significant nail plate damage.
Purpose of the Study:
- To evaluate the clinical outcomes of treating toe onychogryphosis.
- To assess the efficacy of subcutaneous flap coverage post-total matricectomy.
Main Methods:
- A cohort of 12 patients with great toe onychogryphosis was studied.
- Treatment involved total matricectomy followed by subcutaneous flap coverage.
- Patients included 8 men and 4 women, with a mean age of 63.8 years.
Main Results:
- Follow-up ranged from 4 to 108 months (average 25.2 months).
- All flap reconstructions demonstrated successful survival.
- The procedure avoided tight skin closure and preserved toe length.
Conclusions:
- Subcutaneous flap coverage is a viable option for onychogryphosis treatment.
- The technique offers advantages in skin closure and toe length preservation.
- Potential limitations include compromised blood circulation in the feet.
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