Teguloplastia: nueva cirugía reconstructiva para la uña en teja. Resultados de 19 casos en 10 pacientes

Introduction

Pincer nail is a disorder that have a difficult aesthetic and podiatric solution. The necessity of finding a definitive solution has fueled the appearance of new surgical approaches for this condition. The author presents the results of a new surgical technique named teguloplasty.

Patients and method

Surgical reconstruction of the nail was carried out in patients with a painful pincer nail condition. Inclusion criteria included patients with pincer nail deformity of at least 5 years of evolution in which conservative treatment had fail and pain was still present. Surgeries were performed under local anesthesia and consisted in exeresis of the nail plate followed by dissection of the nail bed to obtain a flap that includes nail bed and matrix. Afterwards, a flattening of the dorsal part of the distal phalange was performed including the condyles and the flap was finally sutured in with a frontal lifting. Pain was measured preoperatively, one month post and one year postoperatively with a visual analog scale (VAS).

Results

A total of 19 cases were treated. Preoperative VAS was 8,42. This value lowered to 1,79 at one month operatively (P<.001) and to 0,00 at 1 year postoperatively (P<.001). The only complication was the need a removal of a residual spike edge on the nail of one patient.

Conclusion

The present study shows teguloplasty as a valid technique for the treatment of pincer nail showing its efficacy in pain relief in patients with pincer nail deformity.

Trial registration: The study was registered at clinicaltrials.gov (Registry number NCT02939521).