Anatomical Rationale for the Choice of Surgical Intervention for an Ingrown Nail
https://doi.org/10.23934/2223-9022-2023-12-4-667-675
Abstract
BACKGROUND. An ingrown toenail is one of the reasons for surgical intervention: it accounts for up to 20 % of all operations in clinics. At the same time, conservative and surgical approaches to treatment are not reliable enough: up to 70% of cases are complicated by relapses.
AIM OF STUDY. To study the topographic location and ratio of cells in the growth zone of the nail plate, necessary for planning the volume of intervention in the treatment of ingrown toenails.
MATERIAL AND METHODS. The material for conducting our own research was samples of the cadaver nail complex, without identified pathologies, from 20 objects of different ages and genders. Studies were carried out using histological, immunofluorescent and microscopic methods.
The results were compared with available literature data, clarifying the most important structural features. The data obtained will make it possible to reasonably plan the volume of intervention during operations for ingrown nails, as well as to reduce the number of unsatisfactory results of operations on the nail complex in case of injury and nail diseases.
About the Authors
Sh. A. MakhmudovRussian Federation
Shagid A. Makhmudov, Head of the Department
Surgical Department
105005
17 A, Kazakova Str.
Moscow
E. M. Fominykh
Russian Federation
Evgeny M. Fominykh, Head of the Department, Professor
Medical Institute
Department of Injury Surgery
125080
11, Volokolamskoye Highway
Clinical Hospital
Department of Purulent Surgery
127521
9/1, Vetkina Str.
Moscow
V. F. Zubritsky
Russian Federation
Vladislav F. Zubritsky, Head of the Department
Department of Injury Surgery
Medical Institute
125080
11, Volokolamskoye Highway
Moscow
A. A. Kanibolotsky
Russian Federation
Aleksandr A. Kanibolotsky, Candidate of Medical Sciences, Associate Professor, Pathologist, Head of the Department
Department of Pathologic Anatomy
129090
3 Bolshaya Sukharevskaya Sq.
Organizational and Methodological Department for Pathological Anatomy
115184
30, Bolshaya Tatarskaya Str.
Moscow
P. D. Varfolomeyeva
Russian Federation
Polina D. Varfolomeyeva, Pathologist
Clinical Hospital
127521
9/1, Vetkina Str.
Moscow
G. A. Platonova
Russian Federation
Galina A. Platonova, Head of the Department
Clinical Hospital
Pathoanatomical Department
127521
9/1, Vetkina Str.
Moscow
O. S. Rogovaya
Russian Federation
Olga S. Rogovaya, Researcher
Laboratory of Cell Biology
119334
26, Vavilova Str.
Moscow
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Review
For citations:
Makhmudov Sh.A., Fominykh E.M., Zubritsky V.F., Kanibolotsky A.A., Varfolomeyeva P.D., Platonova G.A., Rogovaya O.S. Anatomical Rationale for the Choice of Surgical Intervention for an Ingrown Nail. Russian Sklifosovsky Journal "Emergency Medical Care". 2023;12(4):667-675. https://doi.org/10.23934/2223-9022-2023-12-4-667-675