Letter: Modified operation for ingrowing toenails.

Palmer, Bernard V.; Stevenson, D. Lang

doi:10.1136/bmj.2.6031.367-a

Cited by 5 publications

(1 citation statement)

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“…It remains to be established whether or not overwork may actually be harmful to partially denervated muscle as some workers have suggested. 3 We would agree wholeheartedly with the authors' comments about the provision of aids and would suggest that regular reassessment be done so that the patient's changing requirements are detected without delay. Ingrowing toenails SIR,-I was delighted that you chose to highlight the condition of ingrowing toenails in the leading article by Mr S S Miller (13 July, p 91) as this common, painful condition has been sadly neglected by the medical profession.…”

Section: Milo Keynesmentioning

confidence: 64%

Risk profile for soldiers aged under 40 with coronary heart disease

Keynes¹

1985

BMJ

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Section: Milo Keynesmentioning

confidence: 64%

Risk profile for soldiers aged under 40 with coronary heart disease

Keynes¹

1985

BMJ

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The ingrowing toenail: A modified segmental matrix excision operation

Gabriel

Dallos

Stevenson

1979

Journal of British Surgery

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Risk factors in onychocryptosis

Langford

Burke

Robertson³

1989

Journal of British Surgery

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A study is described in which the normal toes of 50 patients with unilateral ingrowing toenails were compared with those of 50 healthy subjects matched for age and sex. Twenty-one potential risk factors were compared between the groups. All measurements on patients were derived from unaffected toes in order to avoid anatomical distortion due to the disease process. Statistical analysis revealed significant differences between the groups for three anatomical measures, namely nail fold width (P less than 0.001), medial rotation (eversion) of the great toe (P less than 0.02) and nail thickness (P less than 0.03). Possible discriminating variables were assessed using linear discriminant function analysis and a mathematical equation was derived based on these three factors. This equation was found to possess a potentially high predictive value in that it correctly classified 86 per cent of the patients and 77 per cent of the controls. A further group of 62 unselected patients presenting with unilateral onychocryptosis and 35 unaffected controls were assessed for these three parameters. Of these, 80 per cent of controls and 85 per cent of patients could be classified correctly by the equation. It is thus proposed that, in the majority of subjects with onychocryptosis, a discrete anatomical predisposition exists and that the other factors act only as triggers in the development of the condition. This study provides a rationale for less traumatic surgical approaches to ingrown nail than nail avulsion, with or without nail bed ablation and may also provide a means of identifying high-risk groups.

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Letter: Modified operation for ingrowing toenails.

Cited by 5 publications

References 0 publications

Risk profile for soldiers aged under 40 with coronary heart disease

Risk profile for soldiers aged under 40 with coronary heart disease

The ingrowing toenail: A modified segmental matrix excision operation

Risk factors in onychocryptosis

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