집게손발톱의 수술적 치료 효과에 대한 연구 = A Clinical Study of Efficacy of Surgical Management for Pincer Nails집게손발톱의 수술적 치료 효과에 대한 연구

다국어 초록 (Multilingual Abstract)

Background: A pincer nail deformity is characterized by the presence of an excessively curved and distorted nail across the transverse dimension, particularly at the distal part of the nail plate. A multitude of therapeutic modalities has been implemented to treat this condition with limited efficacy. Objective: We sought to evaluate the efficacy of surgery of a pincer nail deformity with the use of the modified Haneke`s method. Methods: Six patients (seven toenails and two fingernails) with pincer nail deformities were treated with the modified Haneke`s method. Objective assessment was evaluated by use of the width index (width of the nail tip/width of the nail root) and height index (height of the nail tip/width of the nail root). Subjective assessment was evaluated by use of a visual analogue scale declared by patients. In addition, wound complications and recurrence were described. Results: The width index and height index were improved (width index: 15.4%→7.1%, height index: 63.9%→1.9%). Relief of pain could be determined in 100% of the cases. For subjective assessment, all of the patients were satisfactory (more than satisfactory: 100%). There was no recurrence during a 14 to 24 month period (mean time: 19.2 months). Conclusion: The modified Haneke`s method as a surgical approach might be effective and the procedure is easy to perform for a pincer nail deformity. (Korean J Dermatol 2009;47(5):509~515)

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