Name of the Procedure:

Avulsion of Nail Plate, Partial or Complete, Simple; Single

Summary

This procedure involves the removal of part or all of a nail plate on a single digit. It's typically performed in a clinic or outpatient setting to address issues with the nail.

Purpose

• Medical Condition: Typically performed to treat conditions like ingrown nails, severe nail trauma, chronic infections, or fungal infections.
• Goals: The aim is to alleviate pain, resolve infection, and promote healthy regrowth of the nail.

Indications

• Persistent pain or infection in a nail that does not respond to conservative treatment
• Ingrown nails causing inflammation or infection
• Chronic fungal infections not improved with medication
• Traumatic injury to the nail that causes ongoing issues

Preparation

• Pre-Procedure Instructions: Keep the affected area clean and dry. No fasting required but inform your doctor of any medications you are taking.
• Assessments: Physical examination of the affected nail. No specific diagnostic tests are typically required.

Procedure Description

1. Patient Positioning: The patient is seated or lying down with the affected digit accessible.
2. Anesthesia: Local anesthesia is applied to numb the area around the nail.
3. Nail Removal: Using sterile instruments, the healthcare provider carefully removes the part or all of the nail plate.
4. Aftercare: The area is cleaned and dressed with a sterile bandage.

Tools and Equipment: Sterilized nail elevator, scissors, tweezers, and bandages.

Duration

The procedure generally takes about 15 to 30 minutes.

Setting

Performed in a clinic or outpatient surgical center.

Personnel

• Primary care physician or podiatrist
• Nurse or medical assistant for support

Risks and Complications

• Common Risks: Mild pain, swelling, and bleeding.
• Possible Complications: Infection, delayed healing, and regrowth issues with the nail.

Benefits

• Expected Benefits: Relief from pain and infection, with improved nail health.
• Timeframe: Benefits are usually noticed once initial healing begins, typically within a few days.

Recovery

• Post-Procedure Care: Keep the area clean and dry; change bandages as advised.
• Recovery Time: Generally, 1 to 2 weeks for initial healing. Full regrowth of the nail may take several months.
• Restrictions: Avoid soaking the area in water and strenuous activities that may injure the affected digit.

Alternatives

• Other Options: Conservative treatments such as antifungal medications, antibiotics, or minor surgical interventions.
• Comparisons: Alternative treatments are less invasive but may not be as effective for severe cases.

Patient Experience

• During Procedure: Likely experience mild discomfort from the anesthetic injection, but no pain during the procedure itself.
• After Procedure: Some pain and swelling managed with over-the-counter pain relievers. It’s important to follow aftercare instructions to minimize discomfort and ensure proper healing.