拇趾尖端重塑术治疗伴有远节趾骨骨质增生的嵌甲症的疗效
Efficacy of a tip of the big toe remodeling in the distal nail embedding with bone overgrowth of the distal phalanx.
作者信息
Dąbrowski Mikołaj, Litowińska Anna, Cieślak Jolanta
机构信息
Department of Spine Orthopedics and Biomechanics, Poznan University of Medical Sciences, Poznan, Poland.
Anmedica-Healthy Foot Center, Poznan, Poland.
出版信息
Ann Med Surg (Lond). 2020 Aug 30;58:160-166. doi: 10.1016/j.amsu.2020.08.025. eCollection 2020 Oct.
INTRODUCTION
Distal nail embedding due to hyponychium hypertrophy can be caused by traumatic or surgical avulsion of the nail. As a consequence of these changes, the nail plate is blocked through the deformed tip of the toe. Changes that occur at the tip of the big toe are due to bone growth on the dorsal surface of the distal end of the distal phalanx. This study aimed to present a surgical technique for the treatment of hypertrophy of the tip of the toe and evaluate its effectiveness.
MATERIAL AND METHODS
The surgical technique involved remodeling of the tip of the big toe, with removal of the hypertrophied bone of the distal phalanx. The procedure was assessed by using a questionnaire.
RESULTS
We included the 108 distal embedded nails. A total of 85% of respondents were satisfied with the procedure. Nearly 80% of patients rated the cosmetic effect as good or very good.
CONCLUSIONS
The technique was an effective treatment and increased the quality of life of those with disorders of nail growth associated with hypertrophy of the tip and hyponychium, with bone overgrowth.
引言
由于甲下组织肥厚导致的远端甲嵌入可由指甲的创伤性或手术性撕脱引起。这些变化的结果是，甲板被畸形的趾尖阻挡。大脚趾尖发生的变化是由于远节趾骨远端背侧的骨质生长。本研究旨在介绍一种治疗趾尖肥大的手术技术并评估其有效性。
材料与方法
手术技术包括重塑大脚趾尖，切除远节趾骨的肥大骨质。通过问卷调查对该手术进行评估。
结果
我们纳入了108例远端嵌入甲。共有85%的受访者对该手术满意。近80%的患者将美容效果评为良好或非常好。
结论
该技术是一种有效的治疗方法，提高了那些伴有趾尖和甲下组织肥大以及骨质过度生长的指甲生长障碍患者的生活质量。
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