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Related Concept Videos

Accessory Structures of the Skin: Nails01:05

Accessory Structures of the Skin: Nails

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Nails are one of the important accessory structures of the skin. They are hard, protective structures that cover the dorsal surface of the distal phalanges of fingers and toes. Nails are composed of specialized keratinized cells and serve various functions, including protection, sensation, and manual dexterity.
The main components of a nail include the following.
Nail Plate: The nail plate is the visible portion of the nail that extends beyond the fingertips or toes. It is a hard, translucent...
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An Intramedullary Locking Nail for Standardized Fixation of Femur Osteotomies to Analyze Normal and Defective Bone Healing in Mice
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Distal nail embedding treatment using autogenous nails.

Kazuya Kashiyama1,2, Motoi Nakano1, Akihito Higashi1,2

  • 1Department of Plastic and Reconstructive Surgery, Nagasaki Harbor Medical Center, Nagasaki, Japan.

Dermatologic Therapy
|October 19, 2021
PubMed
Summary

Distal nail embedding, a painful ingrown toenail condition, can be effectively treated with a novel surgical technique. This method reshapes the nail tip, resolving pain and deformity without recurrence.

Keywords:
distal nail embeddinghyponychiumingrown nail

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Area of Science:

  • Dermatology
  • Podiatry
  • Surgical Innovation

Background:

  • Nail avulsion can lead to distal nail embedding, a painful ingrown toenail variant.
  • Excessive nail tip curvature into the nail bed causes pain and deformity.
  • Conservative management may be insufficient for symptomatic distal nail embedding.

Purpose of the Study:

  • To present a surgical approach for treating distal nail embedding.
  • To evaluate the efficacy of this technique in resolving pain and nail deformity.
  • To assess the recurrence rate and long-term outcomes of the surgical method.

Main Methods:

  • A surgical technique involving partial nail tip removal and insertion into the nail bed depression was applied to six patients.
  • Autogenous nail material was utilized to address pressure imbalances.
  • The procedure was performed as a simple outpatient department procedure.

Main Results:

  • All six patients experienced resolution of pain and nail deformity.
  • No recurrence of distal nail embedding was observed in any patient.
  • The technique facilitated natural nail growth over the corrected area, improving nail and nail bed morphology.

Conclusions:

  • This surgical approach offers an effective and simple solution for distal nail embedding.
  • Utilizing autogenous nail material promotes favorable nail bed adaptation and reduces hypertrophic nail risk.
  • The procedure demonstrates a low risk of complications and high patient satisfaction.