Ingrowing toenail
Approach
- Expose both feet for comparison
- Inspect
- Commonly affests lateral aspect of great toneail
- Lateral aspect of nail seen to be diggin into the substance of the toe
- Look for signs of inflammation
- Evidence of serous of purulent discharge
Treatments
- Non-surgical
- Nail care with chiropodist
- Surgical
- Simple nail avulsion
- Wedge excision: excision of involvedaspect of nail and nail bed with a wedge of the nail fold
- Zadek's procedure: total excision of nailbed including germinal matrix
Complications of surgery
- Wound infection
- Regrowth
- Osteomyelitis and septic arthritis
