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A simple procedure with nail preservation for ingrowing toe-nails.

J H Tweedie, I Ranger

    Archives of Emergency Medicine
    |September 1, 1985
    PubMed
    Summary
    This summary is machine-generated.

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    A new surgical technique for ingrowing toenails, involving a transposition flap, offers a high success rate of 92%. This effective, simple procedure preserves the nail and is a viable alternative to existing treatments.

    Area of Science:

    • Podiatric surgery
    • Dermatological surgery

    Background:

    • Ingrowing toenails (onychocryptosis) have numerous treatments, indicating a lack of a universally effective procedure.
    • Current methods often have high failure rates, necessitating exploration of alternative surgical options.

    Purpose of the Study:

    • To describe and assess a novel, simple surgical procedure for ingrowing toenails that preserves the nail.
    • To evaluate the efficacy and safety of the transposition flap technique for onychocryptosis.

    Main Methods:

    • A transposition flap of the nail wall was created after curettage of granulation tissue in the nail groove.
    • Eighty-two patients underwent the procedure over three years; outcomes for 63 were assessed 18 months to 3 years post-surgery.
    • A total of 120 operations were performed.

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    Main Results:

    • The overall success rate for the procedure was 110 out of 120 operations (92%).
    • The treatment was found to be effective and well-tolerated by patients.
    • The surgical technique was not technically difficult to perform.

    Conclusions:

    • The described transposition flap technique is a highly effective and safe treatment for ingrowing toenails.
    • With a 92% success rate and minimal technical difficulty, this method should be considered an alternative to current treatments.
    • Nail preservation is achieved, potentially improving patient outcomes and satisfaction.