IJCEM Copyright © 2008-All rights reserved. Published by e-Century Publishing Corporation, Madison, WI 53711
Int J Clin Exp Med 2012;5(3):257-261

Original Article
Lateral fold and partial nail bed excision for the treatment of recurrent ingrown
toenails

Xiaoqiang Zhu, Hengming Shi, Lu Zhang, Yan Gu

Department of General Surgery; Department of Plastic and Reconstructive Surgery, Shanghai 9th People’s Hospital, Shanghai Jiao
Tong University School of Medicine, Shanghai, China 200011

Received May 3, 2012; accepted June 11, 2012; Epub June 15, 2012; Published June 30, 2012

Abstract: Background: Ingrown toenail is one of the most common nail complaints. Although some surgical treatments have been
described for relapse cases, frequent recurrence of pain, infection, and poor cosmetic results prompted us to search for an appropriate
treatment. Objective: This study was aimed at evaluation of our surgical technique of lateral fold and partial nail bed excision for the
treatment of recurrent ingrown toenails. Materials and methods: We retrospectively reviewed the charts of 138 patients who underwent
surgery by lateral fold and partial nail bed excision from 2009 to 2011. The operative technique, results, and long-term outcomes were
recorded. Results: 131 patients were followed up. 121 patients (92.37%) were cured. 10 patients (7.63%) had recurrent problems in 12
digits (7.06%). Of these, only 6 patients underwent surgery again. Conclusions: Lateral fold and partial nail bed excision is a simple,
safe, and effective technique for treatment of recurrent ingrown toenails with a low risk of relapse. (IJCEM1205001)

Keywords: Lateral fold and partial nail bed excision, recurrent ingrown toenails


Address all correspondence to:
Dr. Lu Zhang & Dr. Yan Gu
Department of General Surgery
Shanghai 9th People’s Hospital
Shanghai Jiao Tong University School of Medicine
Shanghai, China 200011
Tel: +86-21-23271699; Fax: +86-21-63136856
E-mail: luzhangmd@gmail.com or yangu@sjtu.edu.cn