Welcome to the Podiatry Arena forums

You are currently viewing our podiatry forum as a guest which gives you limited access to view all podiatry discussions and access our other features. By joining our free global community of Podiatrists and other interested foot health care professionals you will have access to post podiatry topics (answer and ask questions), communicate privately with other members, upload content, view attachments, receive a weekly email update of new discussions, access other special features. Registered users do not get displayed the advertisements in posted messages. Registration is fast, simple and absolutely free so please, join our global Podiatry community today!

  1. Everything that you are ever going to want to know about running shoes: Running Shoes Boot Camp Online, for taking it to the next level? See here for more.
    Dismiss Notice
  2. Have you considered the Critical Thinking and Skeptical Boot Camp, for taking it to the next level? See here for more.
    Dismiss Notice
  3. Have you considered the Clinical Biomechanics Boot Camp Online, for taking it to the next level? See here for more.
    Dismiss Notice
Dismiss Notice
Have you considered the Clinical Biomechanics Boot Camp Online, for taking it to the next level? See here for more.
Dismiss Notice
Have you liked us on Facebook to get our updates? Please do. Click here for our Facebook page.
Dismiss Notice
Do you get the weekly newsletter that Podiatry Arena sends out to update everybody? If not, click here to organise this.


Discussion in 'General Issues and Discussion Forum' started by Heather J Bassett, Oct 7, 2014.

  1. Heather J Bassett

    Heather J Bassett Well-Known Member

    Members do not see these Ads. Sign Up.
    Hi all :), I am having a discussion with colleagues regarding management of matrix after phenolisation.
    Keep dry?
    Topical antiseptic?
    Phenolisation sticks? Any one have issues with these?

    I have done a quick search and could not find answers. Apologies for reposting.

  2. W J Liggins

    W J Liggins Well-Known Member

    To the best of my knowledge there is no international standard protocol although local arrangements may be in place. For what it is worth, I dress the area with inadine (non-adherent antiseptic dressing) and gauze. The dressing is changed after 3 days and the patient then encouraged to use hypertonic saline footbaths twice daily and re-dress with plain gauze. Once healing has taken place the footbaths and dressings need no longer be carried out.

    Others may differ in detail, but for your own safety, I'd conform to whatever is the local procedure since if you did have the misfortune to be sued, whatever is the acceptable standard in your area would be what the court looks at.

    All the best

    Bill Liggins
  3. Thats basically the process I used in OZ, but things may have changed for whatever reason
  4. OptimistPod

    OptimistPod Member

    I have had experience with the phenolisation sticks...I presume you mean the EZ swab ones? I found the tip can be too big for certain PNA's and when 'breaking the seal' some phenol escaped out of the pod and onto my arm...rather painful and embarrassing in front of the patient!
  5. Ray Anthony

    Ray Anthony Active Member

    Dovison R1, Keenan AM: Wound healing and infection in nail matrix phenolization wounds. Does topical medication make a difference? J Am Podiatr Med Assoc. 2001 May;91(5):230-3.


    After nail matrix ablation using phenolization, a medicated wound dressing (10% povidone iodine), an amorphous hydrogel dressing (Intrasite Gel), and a control dressing (paraffin gauze) were evaluated. Forty-two participants, randomly divided into three dressing groups, were evaluated. Healing time did not differ between the 10% povidone iodine (33 days), amorphous hydrogel (33 days), and the control dressing (34 days). For all groups, the clinical infection rate was lower than in previous studies, and there was no clinical difference between groups (one infection in the povidone iodine and control groups; none in the amorphous hydrogel group). However, in the amorphous hydrogel group, other complications, such as hypergranulation, were more likely. This investigation indicated that medicated or hydrogel dressings did not enhance the rate of healing or decrease infection rates.
  6. i give the patient a dropper bottle of videne, a packet of plasters and instructions to soak in warm saline twice daily starting asap-i think the saline soaks are the key to the wound healing quickly
  7. stevewells

    stevewells Active Member

    This is purely anecdotal but this is what I do

    First dressing always heavy to create good barrier against bacterial ingress from outside and haemostatic deg inside to prevent any strike through - pt uses limbo foot shield for showering

    bactigras soft paraffin direct to wound, then kaltostat sandwiched in tricotex (this prevents haemostat sticking to wound avoiding tearing when removing). then 5 layers sterile gauze alternating in direction then tube gauze and mefix strapping. Pt keeps on and dry for 2-3 days then attends for redress (looks like a Tom and Jerry bandage)

    1st redress
    dsg removed - providing no problems next dressing is melolin + sterile gauze x 3 tubegauze + strapping - so this dressing is a little lighter - again kept on and dry for 2-3 days

    2nd redress
    dsg removed - if healing to plan patient left to redress daily with light dressings after salt footbath

    never had an infection - never had any post op pain in all those I have done - works brilliantly (SO FAR - TOUCH WOOD!!!!!!!)
  8. Heather J Bassett

    Heather J Bassett Well-Known Member

    Thank you all for taking the time to share your experiences.


Share This Page