Nail bracing

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Having recently read an article in e-pod about nail bracing (orthonyxia) vs surgery I was wondering if anyone in Oz uses this bracing technique? I'm not a fan of doing nail surgery so this idea sounds appealing.

 

emoclew

Arthur Hill did a Master's thesis on nail brace technique and compared it to nail surgery , I think . It should be availble through the library at Curtin University Perth, Western Australia. I am sure Arthur would be delighted to chat to you but unfortunately I do not have a copy of his email. I dare say someone will on the arena tho'.

We were taught to use the bracing technique at Glasgow a hundred years ago. It was always contraversial and ebbed and floed in popularity. Nail surgery offers a wider range of use but in the case of aseptic involution then bracing does hold its own. It does require a fare degree of skill and much motivation by the patient. This includes regular visits which can be costly as application takes time (particularly to the novice practitioner) There are other alternatives which include sulcus injectors, heat moulding nail tongs and chemical treatments such as urea.

Hope this helps

Cameron
Hey, what do I know

 

Memories of nail bracing

Dear All,

I remeber many years ago, not quite 100, when training using a nail bracing system.

One would find a pt who could benefi from this.

One would carefully prepare the nail etc apply the glue fit the wire retainer and apply the tensioed wire.

One would sit happy in the knowledge that it looked great.

This would be followed from the pt:

HOW THE ECKERSLIKE WILL AH GET ME EFFIN SHOE ON WITH THAT BLOODY THING ON ME FRIGGIN TOE.

I believe that is why bracing fell out of favour.

Certainly in 20 years i have much preferred the Surgical route , fortunately so have most of my pts.

regards David

 

You could always try this :



From a case report in the Medical Journal of Australia (free full-text link...).

 

re Brain Dead

Dear All,

It never ceases to amaze me the damage people inflict upon themselves in order to be fashionable trendy etc.

As an aside do you have any more photos of piercing and jewelry elsehwere on Hopefully her body.


NARF NARF NARF.

I forgot this is a Podiatry not a Gynaecological forum.

regards David

 

Davohorn

Try the acrylic nail bracing system. It can be sealed in under nail polish or an acrylic nail. Minimal bulk and temporary relief to those unable to undergo nail surgery through choice or for other health reasons.

Not a permenant cure but better than bringing patient thro monthly to cut out that involuted nail.

I prefer the nail surgery option also but sometimes one has to consider an alternative.

GB

 

Better again to just solve the problem once and for all with a PNA & some phenol.

 

If only you could solve all and everyone with PNA/TNA and some phenol....there are times when you can't and being able to offer an alternative that is effective is most appreciated by those in pain.

Add a new string to your bow perhaps?

GB

 

One of my friends who came to me for foot advice and treatment asked me if one can stitch the nail to the nail bed in lieu of doing a procedure which would be "too invasive".I now can tell her that I read of a way to do this.

 

I have done a little nail bracing as a student (with Arthur Hill) and remember the patients we used it on as being very happy with results as it prolonged relief from the involution. I can also remember it being quite fiddly getting it just right but we were students.

 

Long-Term Results of Nail Brace Application in Diabetic Patients with Ingrown Nails.
Erdogan FG, Erdogan G.
Department of Dermatology, Ufuk University School of Medicine, Ankara, Turkey.
Dermatol Surg. 2007 Dec 5 [Epub ahead of print]

 

I was only joking about nail bracing with a patent today and suddenly this thread appears in my radar due to a post by newsbot. Man am I sticking bolts through my patients nails on Monday or what!

My old boss used to have a nail brace kit and also something that can only be described as a set of (de)curling tongues for nails- taking advantage of the thermoplastic properties of the nail they (allegedly) used to heat them up and straighten 'em. Lovin' it. :butcher:

 

Treatment of symptomatic incurved toenail with a new device.
Kim JY, Park JS.
Foot Ankle Int. 2009 Nov;30(11):1083-7.

 

Treatment of symptomatic incurved toenail with a new device.
Kim JY, Park JS.
Foot Ankle Int. 2009 Nov;30(11):1083-7.

 

I read this article with interest. It looks like a great, relatively noninvasive way to deal with a pincer nail. I finally tracked down the company that will be supplying the US. They anticipate each brace to sell for $320. I don't see how any insurance will pay for it. Any ideas on coding? I plan to offer this option to at least one patient but don't expect doing many if it's coming out of the patients pocket. Any one else using this device?

Pete

 

Dear Colleagues,
I was impressed to see the device placed in the distal nail, and I imagine how it must be the shoes which you can enter as long a nail with the screw included.
In my thirty years of practice, I have used successfully with conservative techniques long nail in tile.
Obviously, the results are acceptable during treatment, but often relapse after leaving the deformation processing, and finally the patients are candidates for definitive treatment by removing the nail completely noninvasive technique (chemistry).
But to dismiss the conservative treatment as an alternative to surgery a horrible example, is unacceptable.
These treatments have been for years, developed in South America, where podiatrists can not perform surgery.
The reason they were forced to conservative treatment to raise the status of art, being simple implementation, to be adequately trained in basic training.
Those who do not enjoy this training, we look for good teachers to get you started.
If we opt for self-learning, we are doomed to failure, or at other times mediocre result.
Nelson C. Peiré, Uruguay, in 1981, he published his experiences with ortonixia metal.
Armando Bega Currently, Brazil is the best teacher of this technique.
His publications "Basic Podiatry" em Podiatry Feridas and healing "and" Treaty of Podiatry ", which describes this technique, no value to the privilege of witnessing live, ease and simplicity of this treatment in their hands.
SENAC Also, a public institution in Brazil training for podiatrists now offered us technical publications on various conservative of considerable interest, they teach their students.
Carlos Alberto Rodriguez, Argentina, developed in the 80's the "CLIP" or fiber molecular memory based on the ownership of certain plastics to return to its original shape.
Apply a plastic film to the affected nail, attached with superglue in a simple but special, getting a spectacular result.
Orthodontic Bracket, glued on the nail plate, which are base metal brace set, retaining rings, etc.. to change the curvature nail
Light-cured acrylic resins and composites, are prominent as assistants in this type of techniques.
Could you find my Post "CASE REPORT: Conservative treatment Onicocriptosis" in Podiatry-sand forum "Spanish".
A series that will continue to expand soon ...
As you see, there are multiple alternatives to surgical treatment, to be applied only to the failure of these.
I hope I was helpful.
Best regards:
Jose Antonio Teatino

 

You cant use the nails out of a coil nailer to nail speed bracing or triple grips because the nail will shear off at the head under compression or tension, especially on speed brace when the roof gets loaded. Nails for roof bracing and so on you use connector nails or clouts, steel ones for speed brace and galvo ones for triple grips, cyclone straps etc.
Nails for sheet bracing depends on what thickness sheets you are given. What wind rating is it?..

 

Dear Colleagues:
Information skills courses Conservative nails:

ADVANCED COURSES PODOLOGIA
Speaker: Mr. Carlos Flores Maldonado.
Univ. Cayetano Heredia (Medical Technologist)
AGENDA
- Braquet: Saturday, 09 Enero
- Buttons: Saturday January 16
- Molecular Fiber: Saturday January 23
TIME: 9:00 to 11:00
Registration and course location: School of Podiatry "Jevial"
General Garzón 2229 Av Jesús María - Lima-Peru Tel: 261-4524 / 460-2775
Regars:

Jose Antonio Teatino
Licenciado en Podología
Profesor de cirugía
The Academy Ambulatory Foot & Ankle Surgery

Always learning ...

 

Treatment of Ingrown Toenail with a Shape Memory Alloy Device.
Hasan Onur Arik, Mehmet Arican, Volkan Gunes, and Ozkan Kose
Journal of the American Podiatric Medical Association: July 2016, Vol. 106, No. 4, pp. 252-256.

 

A Case of Ingrown Nail Using Buckle VHO-Osthold® Perfect as a Method of Conservative Treatment
Faustyna Kuros, Dominika Wcisło-Dziadecka
J Cosmet Dermatol. 2020 May 19