Dikmen Adile, Ozer Kadri, Ulusoy Mustafa Gurhan, Gursoy Koray, Koçer Uğur
Sinop Ataturk State Hospital, Plastic, Reconstructive and Aesthetic Surgery Clinic, Sinop, Turkey.
Aydin State Hospital, Plastic, Reconstructive and Aesthetic Surgery Clinic, Aydin, Turkey.
Dermatol Surg. 2017 Dec;43(12):1474-1482. doi: 10.1097/DSS.0000000000001252.
Pincer nail deformity (PND) is characterized by an excessive transverse curvature of the nail plate that increases along the longitudinal axis of the nail. Although many conservative and surgical techniques have been used in clinical practice, an established consensus for the correction of PND has not been present yet.
Aim of the technique described in this article is to provide to restore the suitable nail-matrix system curvature by a simplified and quick approach, which could be seen as a synthesis of conservative and surgical treatments described in the literature.
Nineteen cases of pincer nail of the great toe in 14 patients were analyzed. After softening nail plate with 5% thioglycolic acid solution for at least half an hour, surgical bilateral matricectomy and 2 anticonvex sutures with 1-0 polypropylene were performed to ensure proper nail plate shape. Besides demographic data, visual analog scale (VAS) score for pain, width index, height index, patient and surgeon satisfaction scores, operation time, and the day of painless return to the daily activities were investigated.
A statistical significance was observed in VAS score for pain, width, and height indices between preoperative and postoperative values.
This report gives acceptable outcomes with a combination of surgery and conservative treatments.
钳形甲畸形（PND）的特征是甲板横向曲率过大，且沿指甲纵轴增加。尽管临床实践中已使用多种保守和手术技术，但对于PND矫正尚无既定共识。
本文所述技术的目的是通过一种简化快速的方法恢复合适的甲床系统曲率，这可视为文献中所述保守治疗和手术治疗的综合。
分析了14例患者的19例拇趾钳形甲病例。用5%巯基乙酸溶液软化甲板至少半小时后，进行双侧甲床切除术及2针1-0聚丙烯抗凸缝合，以确保甲板形状合适。除人口统计学数据外，还调查了疼痛视觉模拟量表（VAS）评分、宽度指数、高度指数、患者和外科医生满意度评分、手术时间以及无痛恢复日常活动的天数。
术前和术后的疼痛VAS评分、宽度和高度指数存在统计学差异。
本报告表明手术与保守治疗相结合可取得可接受的效果。
