Unlocking potential: clinical benefits of enlarging the nail bed explored through continuous W-shaped incisions
Purpose Nail bed atrophy, a common condition for which conservative treatments have limited efficacy, continues to present challenges in determining the optimal surgical intervention. This study introduces a novel technique for nail bed expansion. Materials and Methods A total of 34 patients with na...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2023-12-01
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| Series: | Journal of Dermatological Treatment |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/09546634.2023.2241940 |
| _version_ | 1797683450614906880 |
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| author | Yaxin Xue Zijing Du Chao Du Jiajun Fan Jia Xu Xin Li Hao Lv Yi Cao Dong Han |
| author_facet | Yaxin Xue Zijing Du Chao Du Jiajun Fan Jia Xu Xin Li Hao Lv Yi Cao Dong Han |
| author_sort | Yaxin Xue |
| collection | DOAJ |
| description | Purpose Nail bed atrophy, a common condition for which conservative treatments have limited efficacy, continues to present challenges in determining the optimal surgical intervention. This study introduces a novel technique for nail bed expansion. Materials and Methods A total of 34 patients with nail bed atrophy, selected between 2015 and 2020 (ChiCTR2000036232), were randomized into a control group (n = 17) and a surgical group (n = 17). While no specialized treatment was administered to the control group, the surgical group underwent continuous W-shaped incisions on the ventral side of the digits. Results Following a 12-month follow-up period, changes in nail bed height, width, area, esthetic satisfaction, pain levels, and tactile sensation were assessed in both groups. In the surgical group, the height, width, and area of the nail bed increased significantly by 1.50 ± 0.49 times, 1.16 ± 0.23 times, and 1.69 ± 0.60 times, respectively, compared to the preoperative measurements. The newly-formed nail plate exhibited improved esthetics, characterized by its smoothness and transparency, a marked improvement over the control group (p < 0.05). Furthermore, this surgical approach showed significant effects, regardless of whether it was applied to fingers or toes. Conclusion: The continuous W-shaped incision technique demonstrated substantial benefits and could be a practical therapeutic approach for nail bed enlargement. |
| first_indexed | 2024-03-12T00:14:38Z |
| format | Article |
| id | doaj.art-0664c0f0d0eb410cae53d8b20950d099 |
| institution | Directory Open Access Journal |
| issn | 0954-6634 1471-1753 |
| language | English |
| last_indexed | 2024-03-12T00:14:38Z |
| publishDate | 2023-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Journal of Dermatological Treatment |
| spelling | doaj.art-0664c0f0d0eb410cae53d8b20950d0992023-09-15T14:40:43ZengTaylor & Francis GroupJournal of Dermatological Treatment0954-66341471-17532023-12-0134110.1080/09546634.2023.22419402241940Unlocking potential: clinical benefits of enlarging the nail bed explored through continuous W-shaped incisionsYaxin Xue0Zijing Du1Chao Du2Jiajun Fan3Jia Xu4Xin Li5Hao Lv6Yi Cao7Dong Han8Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of MedicineShanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of MedicineDepartment of Hand Surgery, Ningbo No. 6 Hospital, Shanghai Jiao Tong University School of MedicineShanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of MedicineShanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of MedicineShanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of MedicineShanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of MedicineShanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of MedicineShanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of MedicinePurpose Nail bed atrophy, a common condition for which conservative treatments have limited efficacy, continues to present challenges in determining the optimal surgical intervention. This study introduces a novel technique for nail bed expansion. Materials and Methods A total of 34 patients with nail bed atrophy, selected between 2015 and 2020 (ChiCTR2000036232), were randomized into a control group (n = 17) and a surgical group (n = 17). While no specialized treatment was administered to the control group, the surgical group underwent continuous W-shaped incisions on the ventral side of the digits. Results Following a 12-month follow-up period, changes in nail bed height, width, area, esthetic satisfaction, pain levels, and tactile sensation were assessed in both groups. In the surgical group, the height, width, and area of the nail bed increased significantly by 1.50 ± 0.49 times, 1.16 ± 0.23 times, and 1.69 ± 0.60 times, respectively, compared to the preoperative measurements. The newly-formed nail plate exhibited improved esthetics, characterized by its smoothness and transparency, a marked improvement over the control group (p < 0.05). Furthermore, this surgical approach showed significant effects, regardless of whether it was applied to fingers or toes. Conclusion: The continuous W-shaped incision technique demonstrated substantial benefits and could be a practical therapeutic approach for nail bed enlargement.http://dx.doi.org/10.1080/09546634.2023.2241940nail dystrophysurgerynail plateclinical efficacy |
| spellingShingle | Yaxin Xue Zijing Du Chao Du Jiajun Fan Jia Xu Xin Li Hao Lv Yi Cao Dong Han Unlocking potential: clinical benefits of enlarging the nail bed explored through continuous W-shaped incisions Journal of Dermatological Treatment nail dystrophy surgery nail plate clinical efficacy |
| title | Unlocking potential: clinical benefits of enlarging the nail bed explored through continuous W-shaped incisions |
| title_full | Unlocking potential: clinical benefits of enlarging the nail bed explored through continuous W-shaped incisions |
| title_fullStr | Unlocking potential: clinical benefits of enlarging the nail bed explored through continuous W-shaped incisions |
| title_full_unstemmed | Unlocking potential: clinical benefits of enlarging the nail bed explored through continuous W-shaped incisions |
| title_short | Unlocking potential: clinical benefits of enlarging the nail bed explored through continuous W-shaped incisions |
| title_sort | unlocking potential clinical benefits of enlarging the nail bed explored through continuous w shaped incisions |
| topic | nail dystrophy surgery nail plate clinical efficacy |
| url | http://dx.doi.org/10.1080/09546634.2023.2241940 |
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