Nail Plate and Bed Reconstruction for Pincer Nail Deformity.

Nail Plate and Bed Reconstruction for Pincer Nail Deformity.
Clin Orthop Surg. 2018 Sep;10(3):385-388
Authors: Shin WJ, Chang BK, Shim JW, Park JS, Kwon HJ, Kim GL
Abstract
Pincer nail deformity is a severe condition in which the nail bed becomes compressed and the nail shows an overcurvature. We retrospectively analyzed 13 pincer nail deformities treated using our nail plate and bed reconstruction technique. Visual analogue scale scores, the width of nail root, width of nail tip, height of nail tip, width index, and height index were assessed before and after surgery. The overcurvature was corrected after detachment of the nail plate. The nail fold was pushed underneath the nail plate and then fixed. The width of nail tip significantly increased after surgery (p < 0.05) and was maintained during follow-up. The height of nail tip decreased after surgery (p < 0.05). This nail plate and bed reconstruction technique is a simple and quick surgical method for correcting deformities and reduces risks of complications such as skin necrosis and infection compared to other existing surgical techniques. We recommend this efficient surgical technique for the treatment of pincer nails.
PMID: 30174817 [PubMed - in process]

Source: Clinics in Orthopedic Surgery - September 5, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research