Nail surgery represents a fundamental subset of dermatologic surgery. Nearly every cutaneous condition and tumor may develop on the nail unit – frequently the practitioner will find the need to perform a surgical procedure on or around the nail, for either diagnosis or as a part of therapy. Successful surgery requires an understanding of the unique nail anatomy, appropriate surgical consent, complete anesthesia, and often manipulation of the plate and/or nail folds to achieve adequate surgical exposure. When armed with tools that address these issues, nail surgery becomes as straightforward as that on the skin.
KeywordsNail surgery Avulsion Digital block Anesthesia Nerve block Anatomy Dressings Wound care Informed consent
- 1.Shum C, et al. Examination of the anatomic relationship of the proximal germinal nail matrix to the extensor tendon insertion. J Hand Surg [Am]. 2000;25(6):1114–7.Google Scholar
- 30.National Patient Safety Agency, UK. Reducing risks of tourniquets left on after finger and toe surgery. 2009.Google Scholar
- 32.Cox C, Yao J. Tourniquet usage in upper extremity surgery. J Hand Surg Am. 2012;35(8):1360–1.Google Scholar
- 34.Jellinek NJ. Nail matrix biopsy of longitudinal melanonychia: diagnostic algorithm including the matrix shave biopsy. J Am Acad Dermatol. 2006. in press (accepted).Google Scholar
- 35.de Berker DAR. Trap door nail avulsion to minimise trauma in nail surgery when accessing the nail bed and matrix. Br J Dermatol. 2006;155(s1):100.Google Scholar
- 37.Abimelec P, Dumontier C. Basic and advanced nail surgery (Part 2: Indications and Complications). In: Scher RK, Daniel CR, editors. Nails: diagnosis, therapy, surgery. Elsevier Saunders; 2005. p. 291–308.Google Scholar