Ingrowing toe nails: the extent of the germinal matrix

Hyder, N.

doi:10.1302/0301-620x.76b3.8175868

Cited by 15 publications

(20 citation statements)

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“…[5][6][7][8][9][10] Patients must keep the device until the nail grows over the nail fold. This procedure is valid only in stage 1 disease and requires patient cooperation.…”

Section: Discussionmentioning

confidence: 99%

Wedge Excision of the Nail Fold in the Treatment of Ingrown Toenail

Persichetti

Simone

Vecchi

et al. 2004

Annals of Plastic Surgery

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Many treatment modalities of ingrown toenail are reported in the literature, often associated with unacceptably high recurrence rate. The authors present their technique, which aims at reducing the convexity of the nail fold. After complete removal of the nail plate and accurate debridement of the granulomatous tissue, a wedge-shaped ellipsis of skin and subcutaneous tissue, lateral to the affected nail fold, is removed. Approximation of the margins of the resulting defect determines eversion of the nail fold. One hundred twenty ingrown toenails were treated with the wedge excision of the nail fold at the outpatient clinic of the department of plastic surgery, Campus Bio-Medico University, Rome, Italy, between January 1998 and January 2002. Six recurrences were observed. In addition to the high cure rate, short postoperative pain duration, and morbidity as well as low risk of postoperative infection, the remarkable esthetic results achievable with this method are indicated.

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“…[5][6][7][8][9][10] Patients must keep the device until the nail grows over the nail fold. This procedure is valid only in stage 1 disease and requires patient cooperation.…”

Section: Discussionmentioning

confidence: 99%

Wedge Excision of the Nail Fold in the Treatment of Ingrown Toenail

Persichetti

Simone

Vecchi

et al. 2004

Annals of Plastic Surgery

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“…Further, others have stated that the fingernail arises from the matrix which is usually attached to the periosteum of the distal phalanx, and it is this attachment that firmly anchors the nail plate in position and nail bed. A similar study examining the extent of the matrix in toenails reported that the matrix extended to the insertion of the extensor tendon but did not quantify the distance . Ours is the first study performed on the great toe to quantify the distances between the matrix of the nail and the insertion of extensor hallucis longus tendon.…”

Section: Discussionmentioning

confidence: 84%

Anatomic relationship of the proximal nail matrix to the extensor hallucis longus tendon insertion

Palomo‐López

Becerro-de-Bengoa-Vallejo

López‐López

et al. 2015

Acad Dermatol Venereol

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We have found that the extensor tendon is between the matrix and the phalanx and extends dorsally to the distal aspect of the distal phalanx. The nail matrix of the great toe is not attached to the periosteum of the dorsal aspect of the base of distal phalanx as is the case in fingers, because the extensor hallucis tendon is plantar or directly underneath the nail matrix and the tendon is dorsal to the bone. Our anatomic study demonstrates that the proximal limit of the matrix and nail bed of the human great toe are dorsal and overlapping the terminal extensor hallucis longus tendon until its distal bony insertion in all specimens.

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“…It has been demonstrated in anatomical studies that the nail matrix occasionally extends to the plantar surface of the terminal phalanx and the germinal matrix to the site of insertion of the extensor tendon. 17 Therefore, incomplete excision or destruction of the lateral germinal matrix results in postoperative spicule formation and recurrence. 1,17 Because we did not perform lateral matrix resection in most of our cases, spicule formation was not possible in those LFP cases.…”

Section: Discussionmentioning

confidence: 99%

“…17 Therefore, incomplete excision or destruction of the lateral germinal matrix results in postoperative spicule formation and recurrence. 1,17 Because we did not perform lateral matrix resection in most of our cases, spicule formation was not possible in those LFP cases. In our cases treated with LFP 1 LLMR, we also did not observe spicule formation.…”

Section: Discussionmentioning

confidence: 99%