Nail and Soft Tissue Surgery

The most common soft tissue surgery performed in clinic is a partial or full nail avulsion.  This procedure involves the partial or full removal of a toenail. In most cases a partial nail avulsion is performed to preserve as much healthy nail as possible. When ingrown toenails occur they can sometimes be resolved with proper nail cutting and removal of the offending piece of nail. In some cases and ingrown toenail is a chronic condition and the ingrown returns even after proper cutting of the toenail. Sometimes that nail has been damaged resulting in a thickened, involuted nail that digs into the skin at all times. In these chronic cases, a partial nail avulsion may be recommended.

Why do ingrown toenails occur?

·         Improper nail cutting technique

·         Trauma to the toenail

·         Ill-fitting footwear 

What are the signs and symptoms of an ingrown toenail?

  • Painful, tender toe

  • Red, warm and mildly swollen toe

  • Possible yellowish or whitish coloured drainage (pus)

  • Pain from the sheets hitting the toe in bed

 
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Ingrown toenail prior to partial nail avulsion

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Ingrown toenail 1 week post partial nail avulsion

 
 
 
 
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Ingrown toenail 2 weeks post partial nail avulsion