Abstract
Many treatment methods for incurvated nails have been reported. In this paper, we describe a novel procedure for incurvated nail deformity. Before surgery, we do not remove the full nail plate, but rather only remove the exposed portion of the nail. The nailbed-periosteal flap is elevated as a bipedicle flap, and the bilateral nail matrix is removed. The dorsal portion of the distal end of the distal phalanx is removed and made smooth with a bone rasp. The lateral nail fold is deepithelized and the nailbed-periosteal flap is then sutured back onto it.
Total removal of the nail plate makes a new deformation of the nail plate. In this method, the deformation is considered to be minimal. In addition, a bipedicle flap has good blood flow, and wound healing is also advantageous. Suturing the tip of the nail bed can sometimes be difficult, but in this method there is no need to suture.
