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Current Techniques of Toenail Surgery

  • Todd D. O’Brien

Abstract

Toenail surgeries are among the most frequently performed of all office procedures. Nearly one million toenail avulsions and matricectomies were performed by podiatrists on the American Medicare population in 2005 alone.1 The scope of this chapter is limited to toenail procedures addressing symptomatic ingrown nails (i.e., onychocryptosis). A more comprehensive treatment of nail surgery can be found in textbooks dedicated entirely to the subject.2,3

Keywords

Ingrown Toenail Distal Phalanx Nail Plate Skin Suture Proximal Nail 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    APMA Medicare Data Report for 2005. Medicare submitted billing frequency by DPMs for codes 11730 and 11750 was 944,367 for 2005. Available at: http://www.apma.org/Members/ReimbursementIssues/BMAD.aspx. Accessed Sept 19, 2009.
  2. 2.
    Krull EA, Zook EG, Baran R, Haneke E, eds. Nail Surgery: A Text and Atlas. Philadelphia: Lippincott Williams & Wilkins; 2001.Google Scholar
  3. 3.
    Baran R, Dawber RPR, eds. Diseases of the Nails and Their Management. 2nd ed. London: Blackwell Science; 1994.Google Scholar
  4. 4.
    Kelikian H. Congenital Deformities of the Hand and Forearm. Philadelphia: WB Saunders; 1974.Google Scholar
  5. 5.
    Haneke E. Etiopathogenie et traitement de l’hypercourbure transversale de l’ongle du gros orteil. J Med Esth Chir Dermatol. 1992;19:123-127.Google Scholar
  6. 6.
    Krull EA. Toenail surgery. In: Krull EA, Zook EG, Baran R, Haneke E, eds. Nail Surgery: A Text and Atlas. Philadelphia: Lippincott Williams & Wilkins; 2001:136.Google Scholar
  7. 7.
    Harrer J, Schöffl V, Hohenberger W, Schneider I. Treatment of ingrown toenails using a new conservative method: a prospective study comparing brace treatment with Emmert’s procedure. J Am Podiatr Med Assoc. 2005;95(6):542-549.PubMedGoogle Scholar
  8. 8.
    Erdogan FG, Erdogan G. Long-term results of nail brace application in diabetic patients with ingrown nails. Dermatol Surg. 2008;34(1):84-86.PubMedCrossRefGoogle Scholar
  9. 9.
    Ishibashi M, Tabata N, Suetake T, et al. A simple method to treat an ingrowing toenail with a shape-memory alloy device. J Dermatolog Treat. 2008;19(5):291-292.PubMedCrossRefGoogle Scholar
  10. 10.
    Nazari S. A simple and practical method in treatment of ingrown nails: splinting by flexible tube. J Eur Acad Dermatol Venereol. 2006;20(10):1302-1306.PubMedCrossRefGoogle Scholar
  11. 11.
    Gupta S, Sahoo B, Kumar B. Treating ingrown toenails by nail splinting with a flexible tube: an Indian experience. J Dermatol. 2001;28(9):485-489.PubMedGoogle Scholar
  12. 12.
    Noël B. Surgical treatment of ingrown toenail without matricectomy. Dermatol Surg. 2008;34(1):79-83.PubMedCrossRefGoogle Scholar
  13. 13.
    Bose B. A technique for excision of the nail fold for ingrowing toenail. Surg Gynecol Obstet. 1971;132:511-512.PubMedGoogle Scholar
  14. 14.
    Du Vries HL. Hypertrophy of the unguilabia. Chirop Rec. 1933;16:11.Google Scholar
  15. 15.
    Rounding C, Bloomfield S. Surgical treatments for ingrowing toenails. Cochrane Database Syst Rev. 2005;18:(2):CD001541.Google Scholar
  16. 16.
    Winograd AM. Results in operation for ingrown toenail. Ill Med J. 1936;70:197-198.Google Scholar
  17. 17.
    Frost LA. Root resection for incurvated nail. J Am Podiatr Assoc. 1950;40:19.Google Scholar
  18. 18.
    Caprioli R, Bilotti MA. Surgical nail procedures. Clin Podiatr Med Surg. 1989;6(2):431-451.PubMedGoogle Scholar
  19. 19.
    Giacalone VF. Phenol matricectomy in patients with diabetes. J Foot Ankle Surg. 1997;36(4):264-267.PubMedCrossRefGoogle Scholar
  20. 20.
    Zadik FR. Obliteration of the nail bed of the great toe without shortening of the terminal phalanx. J Bone Joint Surg Br. 1950;32:66.Google Scholar
  21. 21.
    Lapidus PW. Complete and permanent removal of toe nail in onychomycosis and subungual osteoma. Am J Surg. 1933;19:92-94.CrossRefGoogle Scholar
  22. 22.
    Quenu M. Applications au traitement de l’ongle incarné. Bull Soc Chir Paris. 1887;13:252-255.Google Scholar
  23. 23.
    Boll OF. Surgical correction of ingrowing nails. J Natl Assoc Chirop. 1945;35:8.Google Scholar
  24. 24.
    Travers GR, Ammon RG. The sodium hydroxide matricectomy procedure. J Am Podiatr Assoc. 1980;70:476-478.Google Scholar
  25. 25.
    Farely-Sakevich T, Grady JF, Zager E, Axe TM. Onychoplasty with carbon dioxide laser matricectomy for treatment of ingrown toenails. J Am Podiatr Med Assoc. 2005;95(2):175-179.Google Scholar
  26. 26.
    Abbot WW, Getto EH. Partial matricectomy via galvanic current. J Am Podiatr Assoc. 1980;70:239-243.Google Scholar
  27. 27.
    Hettinger DF, Valinsky MS, Nucci G, et al. Nail matricectomies using radiowave technique. J Am Podiatr Assoc. 1991;81:317-321.Google Scholar
  28. 28.
    Espensen EH, Nixon BP, Armstrong DG. Chemical matricectomy for ingrown toenails. J Am Podiatr Assoc. 2002;92(5):287-295.Google Scholar
  29. 29.
    Siegle RJ, Harkness J, Swanson N. Phenol alcohol technique for permanent matricectomy. Arch Dermatol. 1984;120:348-350.PubMedCrossRefGoogle Scholar
  30. 30.
    Witt CS, Zielsfdorf LM, Wysong DK. A modified partial chemical matricectomy. J Am Podiatr Med Assoc. 1986;76:684-685.PubMedGoogle Scholar
  31. 31.
    Kimata Y, Uetake M, Tsukada S, Harii K. Follow-up study of patients treated for ingrown nails with the nail matrix phenolization method. Plast Reconstr Surg. 1995;95(4):719-724.PubMedCrossRefGoogle Scholar
  32. 32.
    Boberg JS, Frederiksen MS, Harton FM. Scientific analysis of phenol nail surgery. J Am Podiatr Med Assoc. 2002;92(10):575-579.PubMedGoogle Scholar
  33. 33.
    Johnson M, Shuster S. Determinants of nail thickness and length. Br J Dermatol. 1994;130:195-198.PubMedCrossRefGoogle Scholar
  34. 34.
    De Berker D, Mawhinney B, Sviland L. Quantification of regional matrix nail production. Br J Dermatol. 1996;134:1083-1086.PubMedCrossRefGoogle Scholar
  35. 35.
    Reyzelman A, Trombello K, Vayser D, et al. Are antibiotics necessary in the treatment of locally ingrown toenails? Arch Fam Med. 2000;9:930-932.PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag London Limited 2012

Authors and Affiliations

  1. 1.Department of PodiatryHealth Access NetworkLincolnUSA

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