Gürbüz Kaan, Ozan Firat, Kayali Cemil, Altay Taşkin
*Department of Orthopedics and Traumatology, Kayseri Training and Research Hospital, Kayseri, Turkey; †Department of Orthopedics and Traumatology, Izmir Bozyaka Training and Research Hospital, Izmir, Turkey.
Dermatol Surg. 2017 Apr;43(4):583-586. doi: 10.1097/DSS.0000000000001013.
Onychogryphosis is manifested by irregular thickening and curving of nails and the nailfold, resulting in ram horn appearance. No therapeutic modality that can normalize nails with onychogryphosis is yet available. Recommended therapies include palliative measures and various surgical interventions.
The authors reviewed the outcomes of total matricectomy and V-Y advancement flap technique used for nail removal in patients with onychogryphosis at the big toe.
The authors evaluated 14 patients with onychogryphosis, including 8 men and 6 women (15 big toes; 10 at the right foot and 5 at the left foot), who underwent total matricectomy and V-Y advancement flap technique. The general complaints included repeated nail removal, pain, cosmetic complaints, and difficulty in wearing shoe and footwear.
Mean age of the patients was 42.4 years. Mean follow-up was 13.5 months. Clinical history revealed at least 2 previous nail removals. No complications were observed during the follow-up period. Mean time to return to daily activities was 4.5 weeks. Patient satisfaction was rated as very good in 9 patients and good in 5 patients.
The surgical technique employed in patients with onychogryphosis is a safe treatment option with a high success rate.
甲胬肉样变性表现为指甲和甲襞不规则增厚及弯曲，导致呈羊角样外观。目前尚无能够使甲胬肉样变性指甲恢复正常的治疗方法。推荐的治疗方法包括姑息措施和各种手术干预。
作者回顾了用于大脚趾甲胬肉样变性患者拔甲的全甲床切除术和V-Y推进皮瓣技术的治疗效果。
作者评估了14例甲胬肉样变性患者，其中男性8例，女性6例（15个大脚趾；右脚10个，左脚5个），这些患者接受了全甲床切除术和V-Y推进皮瓣技术。常见主诉包括反复拔甲、疼痛、美观问题以及穿鞋困难。
患者的平均年龄为42.4岁。平均随访时间为13.5个月。临床病史显示至少有过2次拔甲经历。随访期间未观察到并发症。恢复日常活动的平均时间为4.5周。9例患者的满意度评分为非常好，5例患者为好。
用于甲胬肉样变性患者的手术技术是一种成功率高的安全治疗选择。
