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In this procedure, the affected toe is anesthetized with a digital block and a tourniquet is applied. An incision is made proximally from the base of the nail about 5 mm (leaving the nail bed intact) then extended toward the side of the toe/toenail in an elliptical sweep to end up under the tip of the nail about 3–4 mm in from the edge.
Removal of the nail is typically done when the nail itself is disrupted, a large laceration requiring suturing is suspected, or a fracture of the tip of the finger occurs. Although general anesthesia is generally not required, a digital nerve block is recommended if the nail is to be removed.
The United Nations Istanbul Protocol describes nail removal and the insertion of objects such as wire under the nail as forms of torture. [2]In the aftermath of Italy's republican referendum after World War II, efforts to prosecute former officials in the Fascist government for collaborationism and war crimes resulted in the legal differentiation between the concepts of normal brutality, cruel ...
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The surgical approach is the removal of the offending part of the nail plate known as a wedge resection. [10] If the ingrown toenail recurs despite this treatment, destruction of the sides of the nail with chemicals or excision is done; this is known as a matrixectomy. [10]
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