Please help
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recently a 36 y/o male consulted me in ragards to his right 1st nail, which he had treated by a podiatrist for onychocryptosis 2 yrs previously. the podiatrist (believe it or not) cut a V-shape into the proximal edge of the nail, causing the nail to split straight the middle of the nail. although this cured the O/C, the patient is now left with a permanently split nail, that i presume involes the matrix. the patient often has to file the dorsal surface of the nail as the 2 parts of the nail overlap.
the patient has very broad, fan-shaped nails.
what is the best way to treat this surgically??
1) NWR with phenol matrisectomies to both sides of the nail, which might allow for more "room" for the nail to grow out without overlapping.
2) complete nail avulsion without phenol matrisectomy, which might allow the nail to grow back normally.
any advise would be appreciated.
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