Arkady method – a new approach to correct ingrown nails
Authors:
J. Lux 1,2; J. Janoutová 3; E. Mrázková 1
Authors‘ workplace:
Lékařská fakulta Ostravské univerzity, Ostrava, Ústav epidemiologie a ochrany veřejného zdraví, Vedoucí: doc. MUDr. Rastislav Maďar, PhD., MBA, FRCPS
1; Podiatrické centrum Medicia, Ostrava, Chirurgická ambulance, Vedoucí: MUDr. Jaroslav Lux
2; Fakulta zdravotnických věd UP v Olomouci, Ústav zdravotnického managementu, Vedoucí: doc. MUDr. Jana Janoutová, Ph. D.
3
Published in:
Prakt. Lék. 2020; 100(4): 178-181
Category:
Of different specialties
Overview
Introduction: Ingrown toenails is a diagnosis frequently encountered in a surgeon’s day to day work. Patients most often find their way to the surgery as a result of inflammatory complications. The routine practice entails removal of the mechanical cause of the pathology through ablation of the toenail or part thereof. Arkada’s Method is a viable treatment option. It is a Polish, non-invasive method, which does not remove the toenail, but it keeps it and reconstructs it and affords all the associated advantages.
Own observation: Due to the character of the method, if inflammation occurs, soft tissues begin healing immediately after the surgery, without the need to use antibiotics. We only prescribed these as supportive treatments in 4% of the cases. For chronically overgrown skin folds, particularly following inflammation, in order to prevent recurring ingrowing, a surgical operation of the nail skin folds is sometimes recommended – "plastic surgery according to Arkada".
Conclusion: The new, patented and safe Arkada’s Method results in an immediate, bloodless remedy of the cause of ingrowing toenails without the need to resort to ablation. Its main benefits include immediate alleviation of pain and the fact that patients can return to normal lives without any restrictions. The way the nail plate is handled, means that it is particularly recommended when treating toes of patients suffering from diabetes. It eliminates the occurrence of complications, and in particular of deformation of new nail plate, which is also important for aesthetic reasons.
Keywords:
ingrown toenail – Arkady method
Sources
1. European patent office. A device for correcting ingrowing foot nails. European patent specification EP 2 765 961 B1.
2. Boll O. Surgical correction of ingrowing toenails. J Natl Assoc Chiroprod 1945; 35: 8–9.
3. Erdogan FG, Erdogan G. Long-term results of nail brace application in diabetic patients with ingrown nails. Dermatol Surg 2008; 34(1): 84–86;
4. Heidelbaugh JJ, Lee H. Management of the ingrown toenail. Am Fam Physician 2009; 79(4): 303–308.
5. Romero-Pérez D, Betlloch-MascI, Encabo-Durán B. Onychocryptosis: a long-term retrospective and comparative follow-up study of surgical and phenol chemical matricectomy in 520 procedures. Int J Dermatol 2017; 56(2): 221–224.
6. Rounding C, Bloomfield S. Surgical treatments for ingrowing toenails. Cochrane Database Syst Rev 2005; 2: CD001541.
Labels
General practitioner for children and adolescents General practitioner for adultsArticle was published in
General Practitioner
2020 Issue 4
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