Department of Plastic and Reconstructive Surgery, Kinki University School of Medicine, Osakasayama City, Osaka, Japan.
Dermatol Surg. 2010 Apr;36(4):506-11. doi: 10.1111/j.1524-4725.2010.01478.x. Epub 2010 Feb 19.
In instances of pincer nail deformity, patients complain of pain associated with walking, wearing shoes, or light touching. Cosmetic concerns and difficulties in terms of nail clipping also arise. Achievement of a satisfactory nail form remains elusive.
To introduce our original surgical procedure and present the satisfactory results.
MATERIALS & METHODS: The zigzag nail bed flap method was used on 71 toenails in 49 patients displaying pincer nails (11 male, 38 female; age range 12-88, mean, 48.6). This investigation evaluated 70 nails from the great toe and one nail from a second toe.
No postoperative complications, including pain, infection and conspicuous scars, were evident. The degree of improvement was determined objectively with the width and height indices, revealing the accuracy of this therapeutic measure.
The authors recommend surgical intervention consequent to the vicious cycle corresponding to anatomical abnormalities associated with the nail plate-nail bed-phalanges relationship. Therefore, these architectures should be treated in conjunction rather than singularly.
在钳形趾畸形的情况下，患者会抱怨与行走、穿鞋或轻触相关的疼痛。还会出现美容问题和剪指甲困难。实现满意的趾甲形状仍然难以捉摸。
介绍我们的原创手术程序并呈现满意的结果。
在 49 名患有钳形趾的患者（11 名男性，38 名女性；年龄 12-88 岁，平均 48.6 岁）的 71 个趾甲中应用了 Zigzag 趾床瓣法。本研究评估了来自大脚趾的 70 个趾甲和第二脚趾的一个趾甲。
没有出现术后并发症，包括疼痛、感染和明显的疤痕。通过宽度和高度指数客观地确定了改善程度，这显示了这种治疗措施的准确性。
作者建议对与趾甲板-趾床-指骨关系相关的解剖异常引起的恶性循环进行手术干预。因此，这些结构应该一起而不是单独治疗。
