Correction of Pincer Nail Deformities Using a Modified Double Z-Plasty

Cho, Young Joo; Lee, Jae Hoon; Shin, Dong Jun; Sim, Woo Young

doi:10.1097/dss.0000000000000356

Cited by 12 publications

(10 citation statements)

References 20 publications

(24 reference statements)

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“…Our method also avoids the need for an autologous dermal flap, as required with the zigzag nail bed flap method of Jung et al and the dermal flap method ,. and will not induce detached or distorted nail plates . Further, compared with the nail plate and bed reconstruction technique the nail bed is not isolated from the bone in our method.…”

Section: Discussionmentioning

confidence: 99%

An L‐shaped flap for the correction of pincer nail deformity: A case report

et al. 2020

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Pincer nail deformity is characterised by an excessive transverse curvature of the nail plate that increases along the longitudinal axis of the nail. Although various corrective techniques have been described, there is, no consensus regarding the optimal correction method. We report a novel surgical technique for correcting pincer nail deformity in a 45-year-old male with bilateral omega-shaped pincer nail deformity of the great toes. The nail matrix on the side showing the more severe curvature was removed, and a flattened nail bed was achieved after suturing. An L-shaped skin and subcutaneous tissue flap was also created 5 mm from the junction between the side of the nail with the milder curvature and the distal nail fold. After healing, the pincer nail deformity was successfully eliminated. At the 1-year follow-up, recurrence was not observed and the appearance of toes was satisfactory. This novel surgical technique is simple, minimises damage to the surrounding tissue, avoids injuring the nail bed blood supply and has few postoperative complications.

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Section: Discussionmentioning

confidence: 99%

An L‐shaped flap for the correction of pincer nail deformity: A case report

et al. 2020

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“…Another method consists of depression of the lateral nail folds by the dermal flap. Cho et al 8) reported treatment cases using a modified double Z-plasty to remove osteophytes and correct the nail fold. Markeeva et al 9) shortened the nail plates with a 40% urea paste and performed ablation on deformed nail beds and lateral narrowing.…”

Section: Discussionmentioning

confidence: 99%

Nail Plate and Bed Reconstruction for Pincer Nail Deformity

et al. 2018

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Pincer nail deformity is a severe condition in which the nail bed becomes compressed and the nail shows an overcurvature. We retrospectively analyzed 13 pincer nail deformities treated using our nail plate and bed reconstruction technique. Visual analogue scale scores, the width of nail root, width of nail tip, height of nail tip, width index, and height index were assessed before and after surgery. The overcurvature was corrected after detachment of the nail plate. The nail fold was pushed underneath the nail plate and then fixed. The width of nail tip significantly increased after surgery (p < 0.05) and was maintained during follow-up. The height of nail tip decreased after surgery (p < 0.05). This nail plate and bed reconstruction technique is a simple and quick surgical method for correcting deformities and reduces risks of complications such as skin necrosis and infection compared to other existing surgical techniques. We recommend this efficient surgical technique for the treatment of pincer nails.

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“…Alternatively, the surgical option has a lower recurrence but causes severe pain, poor cosmetic appearance, secondary infection, wound necrosis, and sensory disturbance [20]. Female patients are sensitive to aesthetic problems related to invasive surgery [21].…”

Section: Managementsmentioning

confidence: 99%

“…They concluded that educating the patient on skin-care routine minimizes complications. Although Young Joo et al considered the shape-memory alloy device to be inconvenient [20], the technique is used to improve the PND symptoms [24]. This technique was combined with surgical procedures on patients with hypertrophic nail fold skin [26].…”

Section: Thementioning

confidence: 99%

“…The above-mentioned authors reported successful results without recurrence, but Cho et al considered the 5-flap Zplasty procedure [40] not effective in flattening the nail bed's distal end [20]. They modified the Z-plasty design to improve its ability to flatten the nail bed's distal end and added a vertical incision to the flap to divide the nail bed into two flaps with no vertical skin incision dividing the two Z-designs at the tip of the toes.…”

Section: Widening Of the Nail Bedmentioning

confidence: 99%

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Pincer Nail Deformity: Clinical Characteristics, Causes, and Managements

Huang

Yu³

et al. 2020

BioMed Research International

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A pincer nail is a common nail deformity of toenails and is characterized by nail thickening and nail plate deformation. It often causes severe pain for patients. We perform a thorough literature review and an additional review of pertinent clinical cases, aiming to provide a comprehensive review of the etiology, pathogenesis, clinical classification, differential diagnosis, and treatment of pincer nail deformity (PND). Understanding the clinical characteristics and treatment progress of a pincer nail will provide clinicians with comprehensive and evidence-based information about PND, thus allowing the selection of an appropriate treatment according to the patient’s request and the clinical manifestations of PND, which should maximize patient satisfaction.

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Correction of Pincer Nail Deformities Using a Modified Double Z-Plasty

Abstract: Modified double Z-plasty provides a long-standing effective treatment for pincer nail deformity with an excellent esthetic result.

Cited by 12 publications

References 20 publications

An L‐shaped flap for the correction of pincer nail deformity: A case report

An L‐shaped flap for the correction of pincer nail deformity: A case report

Nail Plate and Bed Reconstruction for Pincer Nail Deformity

Pincer Nail Deformity: Clinical Characteristics, Causes, and Managements

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