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Onychogryphosis and TNA

Discussion in 'General Issues and Discussion Forum' started by Tamsin H, May 24, 2018.

  1. Tamsin H

    Tamsin H Member


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    Case: 23 year old female with long-standing onychogryphosis of both hallux nails requesting TNA
    Question: Would you phenolise the matrix or allow nails to grow back?
    What is the incidence of recurrence/healthy new nail growth?
     
  2. Craig Payne

    Craig Payne Moderator

    Articles:
    8
    It will grow back just as bad or worse if you do not phenolise.

    Healthy new growth: 0%
     
  3. Tamsin H

    Tamsin H Member

    Thanks Craig. Have any studies been done to support this, do you know?
     
  4. DaVinci

    DaVinci Well-Known Member

    Onychogryphosis occurs due to damage to the growing area of the nail. Removing a nail does not fix that damage and will usually make it worse due to the trauma to the avulsion.
     
  5. Tamsin H

    Tamsin H Member

    Thanks.
    TNA - WITH phenolisation - carried out yesterday!
     
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