INGROWN NAIL

The upper leg is the insertion of the edge of the nail plate into the nail roller of the finger. Most often, the outer edge of the nail plate of the first toe grows. This is facilitated by a short cutting of the corners of the nail plate, increased nail growth, flat feet, clubfoot , wearing tight shoes with high heels, systematic micro-trauma, non-compliance with foot hygiene.

There are swelling and hyperemia of the nail roller, pain during palpation and walking. In the case of progression of the disease, scant purulent discharge, ulceration of the edge of the nail roller, pathological granulation appear. The disease acquires a protracted character, impaired ability to work , sometimes develop lymphangitis , lymphadenitis .

Treatment is often performed on an outpatient basis. In the early stages, it is recommended to wear free footwear, limit walking, warm baths with a weak solution of potassium permanganate or sodium bicarbonate (baking soda), paving between the edge of the nail plate and soft finger tissues narrow gauze strips soaked in antiseptic solutions, dressings with 0.5% -alcoholic solution of chlorhexidine. When treatment is ineffective, purulent discharge, pathological granulations appear, surgery is performed in the marginal resection of the nail plate along with the affected nail roller, part of the nail bed and the growth zone.

With repeated relapses, plastic surgery is shown - complete excision of all nail-forming tissues with subsequent closure of the wound with a skin graft.

Prevention of ingrown nail and postoperative relapse is proper nail cutting, wearing loose comfortable shoes, treating orthopedic diseases and maintaining personal hygiene.