An L‐shaped flap for the correction of pincer nail deformity: A case report

Abstract

Pincer nail deformity is characterised by an excessive transverse curvature of the nail plate that increases along the longitudinal axis of the nail. Although various corrective techniques have been described, there is, no consensus regarding the optimal correction method. We report a novel surgical technique for correcting pincer nail deformity in a 45-year-old male with bilateral omega-shaped pincer nail deformity of the great toes. The nail matrix on the side showing the more severe curvature was removed, and a flattened nail bed was achieved after suturing. An L-shaped skin and subcutaneous tissue flap was also created 5 mm from the junction between the side of the nail with the milder curvature and the distal nail fold. After healing, the pincer nail deformity was successfully eliminated. At the 1-year follow-up, recurrence was not observed and the appearance of toes was satisfactory. This novel surgical technique is simple, minimises damage to the surrounding tissue, avoids injuring the nail bed blood supply and has few postoperative complications.

The use of a glove tourniquet in digital surgery results in an unnecessary risk to the patient – a letter to the editor

“…The use of a glove tourniquet results in an unnecessary risk to the patient. 1,2 It has been accepted practice for many years to use lignocaine with adrenaline when performing digital surgery on the hand or foot. 3 This gives both anaesthesia and a bloodless operating field.…”

“…We read with interest the article by Huang et al re surgical correction of pincer nail deformity of the great toe. 1 We were concerned by the measures taken to secure an anaesthetised, bloodless field. The authors state '.…”