Correction of pincer-nail deformity using dermal grafting

Pincer-nail syndrome has been described as distortion in the shape of the n ails with excessive transverse curvature of the plate that increases from p roximal to distal, leading to pinching and loss of soft tissue in the affec ted digit, resulting ill severe pain. Many treatments have been recommended , but an effective long-term method that preserves the nail matrix has riot been described. A method of dermal grafting under the nail matrix is described, and the res ults of treatment of six digits are reported. Five women and one man with a n average age of 52 were treated. The affected digit was the thumb in four patients and the great toe in two patients. Follow-up averaged 251/2 months . The results were good in all cases with only one side of one nail remaining slightly curved. Pain was relieved in all cases, and complete adherence of the new nail plate occurred. Dermal grafting seems to provide excellent lo ngterm treatment of the pincer-nail deformity with preservation of the nail matrix.