Ingrown toenail removal - Revision history

Danbot: Add peer-reviewed references with PMIDs

2026-03-22T10:01:53Z

Add peer-reviewed references with PMIDs

← Older revision		Revision as of 10:01, 22 March 2026
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	==Contraindications==		==Contraindications==
	*Significant granulation tissue precluding partial nail removal		*Significant granulation tissue precluding partial nail removal<ref>Eekhof JA, et al. Interventions for ingrowing toenails. Cochrane Database Syst Rev. 2012;(4):CD001541. PMID 22513901</ref>
	*Multiple comorbidities in a patient not requiring immediate relief		*Multiple comorbidities in a patient not requiring immediate relief

2021-07-07T18:01:27Z

Post-procedure care

← Older revision		Revision as of 18:01, 7 July 2021
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	==Post-procedure care==		==Post-procedure care==
			[[File:Reene ingrown nail postop.jpg\|thumb\|A toe following wedge resection with an image of the nail removed.]]
	*Cover with gauze, instruct to keep clean and dry, wash 2-3 times a day		*Cover with gauze, instruct to keep clean and dry, wash 2-3 times a day
	*No antibiotics unless surrounding cellulitis		*No antibiotics unless surrounding cellulitis

2021-07-07T17:59:35Z

← Older revision		Revision as of 17:59, 7 July 2021
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	==Procedure==		==Procedure==
			[[File:Ingrown nail 002 cropped.jpg\|thumb\|Typical [[ingrown toenail]].]]
	*Perform [[Digital block]] using lidocaine without epinephrine or bupivacaine		*Perform [[Digital block]] using lidocaine without epinephrine or bupivacaine
	*Clean area thoroughly		*Clean area thoroughly

2019-10-09T16:24:28Z

← Older revision		Revision as of 16:24, 9 October 2019
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	==Indications==		==Indications==
	*Advanced onychocryptosis (heavy granulation tissue, pain with walking)		*Advanced [[ingrown toenail\|onychocryptosis]] (heavy granulation tissue, pain with walking)

	==Contraindications==		==Contraindications==

2019-02-21T18:30:21Z

Partial nail removal

← Older revision		Revision as of 18:30, 21 February 2019
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	''Removing the entire outside portion of affected nail (definitive treatment)''		''Removing the entire outside portion of affected nail (definitive treatment)''
	*Lift the affected side (up to 1/3 of the nail) off of the nail bed via blunt dissection with a hemostat		*Lift the affected side (up to 1/3 of the nail) off of the nail bed via blunt dissection with a hemostat
	*Grasp the nail fragment with the hemostat and use a rotating motion with the clamped hemostat toward the remaining nail to expose the outside portion of the ~~luna~~		*Grasp the nail fragment with the hemostat and use a rotating motion with the clamped hemostat toward the remaining nail to expose the outside portion of the lunula
			**The lateral portion of the lunula looks like a "dolphin's tail"; do not p
	*Cut the nail with scissors or a nail anvil, distal to proximal, parallel to nail wall, with care not to injure the eponychium		*Cut the nail with scissors or a nail anvil, distal to proximal, parallel to nail wall, with care not to injure the eponychium

2019-02-21T18:29:34Z

Partial nail removal

← Older revision		Revision as of 18:29, 21 February 2019
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	===Partial nail removal===		===Partial nail removal===
	''Removing the entire ~~lateral or medial~~ portion of affected nail (definitive treatment)''		''Removing the entire outside portion of affected nail (definitive treatment)''
	*Lift the affected side (up to 1/3 of the nail) off of the nail bed via blunt dissection with a hemostat		*Lift the affected side (up to 1/3 of the nail) off of the nail bed via blunt dissection with a hemostat
	*Grasp the nail fragment with the hemostat and use a rotating motion with the clamped hemostat toward the remaining nail to expose the		*Grasp the nail fragment with the hemostat and use a rotating motion with the clamped hemostat toward the remaining nail to expose the outside portion of the luna
	*Cut the nail with scissors or a nail anvil, distal to proximal, parallel to nail wall, with care not to injure the eponychium		*Cut the nail with scissors or a nail anvil, distal to proximal, parallel to nail wall, with care not to injure the eponychium

2019-02-21T18:28:17Z

← Older revision		Revision as of 18:28, 21 February 2019
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			==Background==
			{{Fingertip anatomy}}

	==Indications==		==Indications==
	*Advanced onychocryptosis (heavy granulation tissue, pain with walking)		*Advanced onychocryptosis (heavy granulation tissue, pain with walking)

2019-02-21T18:27:47Z

Complete (lateral) nail removal

← Older revision		Revision as of 18:27, 21 February 2019
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	*Clean area thoroughly		*Clean area thoroughly

	===~~Complete (lateral)~~ nail removal===		===Partial nail removal===
	''Removing the entire lateral portion of ~~the~~ nail ~~is the more~~ definitive treatment''		''Removing the entire lateral or medial portion of affected nail (definitive treatment)''
	*Lift the ~~lateral quarter or third~~ of the nail off of the nail bed with a hemostat		*Lift the affected side (up to 1/3 of the nail) off of the nail bed via blunt dissection with a hemostat
			*Grasp the nail fragment with the hemostat and use a rotating motion with the clamped hemostat toward the remaining nail to expose the
	*Cut the nail with scissors or a nail anvil, distal to proximal, parallel to nail wall, with care not to injure the eponychium		*Cut the nail with scissors or a nail anvil, distal to proximal, parallel to nail wall, with care not to injure the eponychium
	*Grasp the nail fragment with the hemostat and pull in a twisting motion distally and toward the remaining nail until removed
	*Gently debride the exposed tissue

	===Matricectomy===		===Matricectomy===

2019-02-21T18:24:34Z

Partial nail removal

← Older revision		Revision as of 18:24, 21 February 2019
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	*Perform [[Digital block]] using lidocaine without epinephrine or bupivacaine		*Perform [[Digital block]] using lidocaine without epinephrine or bupivacaine
	*Clean area thoroughly		*Clean area thoroughly

	~~===Partial nail removal===~~
	*If only the distal nail wall is inflamed, use iris scissors or an English nail anvil to make an oblique cut through the distal one third of the nail
	*Use forceps to help remove the corner

	===Complete (lateral) nail removal===		===Complete (lateral) nail removal===

2019-02-21T16:15:46Z