Ingrown Nail

Ingrown Toenail due to wide toenail with normal shape


This is the most common type of ingrown toenails. Usually, there is a genetic predisposition. Narrow
shoes, wrong nail cuts, fast growing period, pregnancy and trauma can cause the onset of ingrown
If a granulation tissue is formed on the edge of the nail; after administration of anesthesia, an
operation of 5 minutes for monolateral and 10 minutes for bilateral toenails would fix the problem
by shortening the width of the nail permanently and equalizing the nail fold.
In this procedure, subsequent to anesthetic crème application to the root of the nail (not the
place of ingrowing), local anesthetics are applied via a very thin needle, only the ingrowing part of
the nail is removed which is sized 3-5 mm, granulation tissue is cleared and the ingrowing part is
opened 0.5-1 cm in order to remove the root which forms the edge of the nail (germinative matrix),
a single suture is used for closing the edge. Patient is advised to rest and not to walk the first day;
walk around with slippers or summer shoes the next day, even to work; wear normal shoes 5-7 days
after. Stitches are removed at the end of the week and wound dressings are over.
Repeat is inevitable when only the nail is pulled, but the root is left behind. Toenails of many
patients which were operated in our center were already operated in other centers. The most
important point of this operation is to know the tissues that form the root of nail well and remove
in entirely. Interventions done by doctors who cannot differentiate these tissues well will have high
rates of repeats.