A new surgical technique for the treatment of retronychia: proximal partial avulsion
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Abstract
Retronychia or proximal onychocryptosis is a relatively frequent reason for consultation in podiatrics offices. The complete nail avulsion has been the treatment of choice described in the literature for the approach of the pathology. Although this is an effective technic, it is not without drawbacks associated with the loss of the mechanical function that the nail plate has entrusted to the first toe. To avoid or lessen the appearance of these problems, we propose a simple alternative consisting in partial non-incisional proximal avulsion of the nail plate leaving intact the distal nail portion adhered to the bed until it is displaced by the new nail plate.
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De Berker DA, Richert B, Duhard E, Piraccini BM, Andre J, Baran R. Retronychia: proximal ingrowing of the nail plate. J Am Acad Dermatol. 2008;58(6):978-83.
Robledo A, Godoy E, Manrique E, Manchado P. Retronychia: an underdiagnosed disease. Dermatol Online J. 2017;15: 23(7).
Ventura F, Correia O, Duarte AF, Barros AM, Haneke E. “Retronychia--clinical and pathophysiological aspects”. J Eur Acad Dermatol Venereol. 2016; 30(1):16-9.
Baumgartner M, Haneke E. Retronychia: diagnosis and treatment. Dermatol Surg. 2010;36(10):1610-4.
Gerard E, Prevezas C, Doutre M-S, Beylot-Barry M, Cogrel O. Risk factors, clinical variants and therapeutic outcome of retronychia: a retrospective study of 18 patients. Eur J Dermatol. 2016;26(4):377-81.
Braswell MA, Daniel CR 3rd, Brodell RT. Beau lines, onychomadesis, and retronychia: A unifying hypothesis. J Am Acad Dermatol. 2015;73(5):849-55.
Fernández J, Reyes-Baraona F, Wortsman X. Ultrasonographic Criteria for Diagnosing Unilateral and Bilateral Retronychia. J Ultrasound Med. 2018 ;37(5):1201-9.
Collins SC, Cordova K, Jellinek NJ. Alternatives to complete nail plate avulsion. J Am Acad Dermatol. 2008;59(4):619-26.
Pandhi D, Verma P. Nail avulsion: indications and methods (surgical nail avulsion). Indian J Dermatol Venereol Leprol. 2012;78(3):299-308.
Mazuecos J, Pérez Bernal A, Camacho FM. Skin bridge on a nail plate caused by distal onychocriptosis. Eur J Dermatol. 2015;25(2):185-6.
Zook EG, Baran R, Haneke E, Dawber RPR. Nail surgery and traumatic abnormalities. In: Baran R, Dawber RPR, de Berker DAR, Haneke E, Tosti A, editors. Baran and Dawber’s diseases of the nails and their management. 3rd ed. Malden, MA: Blackwell Science; 2001. pp. 425-514.
Grieg JD, Anderson JH, Ireland AJ, Anderson JR. The surgical treatment of ingrowing toenails. J Bone Joint Surg Br. 1991;73(1):131-3.