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Total Matricectomy and V-Y Advancement Flap Technique in the Treatment of Onychogryphosis

Gürbüz, Kaan MD; Ozan, Firat MD; Kayali, Cemil MD; Altay, Taşkin MD

doi: 10.1097/DSS.0000000000001013
Original Article
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BACKGROUND 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.

OBJECTIVE 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.

MATERIALS AND METHODS 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.

RESULTS 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.

CONCLUSION The surgical technique employed in patients with onychogryphosis is a safe treatment option with a high success rate.

*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

Address correspondence and reprint requests to: Kaan Gürbüz, Department of Orthopedics and Traumatology, Kayseri Training and Research Hospital, Sanayi Mah, Atatürk Bulvari, Hastane Cad, Kocasinan, Kayseri 38010, Turkey, or e-mail: drkagangurbuz@gmail.com

The authors have indicated no significant interest with commercial supporters.

© 2017 by the American Society for Dermatologic Surgery, Inc. Published by Wolters Kluwer Health, Inc. All rights reserved.
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