甲床矫形术治疗顽固性嵌甲25例分析

Deck orthopedic surgery in the treatment of cure obstinate ingrown nail:an analysis of 25 cases

目的总结带蒂软组织瓣甲床侧缘下移植,进行甲板整形手术,彻底治愈顽固性嵌甲的经验。方法对2001年2月至2009年6月唐山铁路中心医院收治的25例顽固性嵌甲的临床资料进行分析。设计带蒂软组织瓣,将甲床侧缘从趾骨上剥离,用软组织瓣填塞其下支撑甲床,使甲床垫起,甲沟变浅,矫正其侧下翻畸形,矫正畸形甲板。结果 25例(34趾)顽固性嵌甲均行病变甲基质部分切除、带蒂软组织瓣甲床侧缘下移植手术。随访6个月至1年均取得满意疗效。结论甲床矫形术去除了嵌甲的病因,外形美观,手术并发症少,复发率低。

Objective To adopt a method for curing the obstinate ingrown nail by transplanting a soft tissue flap with a pedicel under the edge of the toenail in deck orthopedic surgery. Methods The clinical data of deck orthopedic surgery to cure obstinate ingrown nail performed between February 2001 and June 2009 at Railway Central Hospital of Tangshan were analyzed. Remove prismatical skin at the edge of the toenail, design a soft tissue flap with a pedicel, strip off the edge of the toenail bed from the toebone, transplant a soft tissue flap with a pedicel under the edge Of the toenail to alter the ingrowing tocoai bed and deck deformity. Results All cases of obstinate ingrown nail after the operation had recovered with satisfied results under 6 months to 1 years follow-up. Conclusion The operation gets rid off the causes of obstinate ingrown first toenail, has few complications and few recurrences.