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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. Makhmudov
City Clinic No. 46
Russian Federation

Shagid A. Makhmudov, Head of the Department

Surgical Department

105005

17 A, Kazakova Str.

Moscow



E. M. Fominykh
Russian Biotechnological University (BIOTECH); Occupational Clinic of the Ministry of Internal Affairs of Russian Federation in Moscow
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 Biotechnological University (BIOTECH)
Russian Federation

Vladislav F. Zubritsky, Head of the Department

Department of Injury Surgery

Medical Institute

125080

11, Volokolamskoye Highway

Moscow



A. A. Kanibolotsky
N.V. Sklifosovsky Research Institute for Emergency Medicine; Research Institute of Healthcare Organization and Medical Management
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
Occupational Clinic of the Ministry of Internal Affairs of Russian Federation in Moscow
Russian Federation

Polina D. Varfolomeyeva, Pathologist

Clinical Hospital

127521

9/1, Vetkina Str.

Moscow



G. A. Platonova
Occupational Clinic of the Ministry of Internal Affairs of Russian Federation in Moscow
Russian Federation

Galina A. Platonova, Head of the Department

Clinical Hospital

Pathoanatomical Department

127521

9/1, Vetkina Str.

Moscow



O. S. Rogovaya
N.K. Koltsov Institute of Developmental Biology
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

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ISSN 2223-9022 (Print)
ISSN 2541-8017 (Online)