WHAT IS TOENAIL SURGERY?
At Ingrown Toenail Clinics Australia, we use minimally invasive surgical techniques that have been shown to achieve a permanent resolution of ingrown toenails in up to 98.5% of cases. Toenail Surgery is recommended when an ingrown toenail repeatedly becomes painful or infected, and when other conservative treatments have proved unsuccessful. The most common procedure we perform, a Partial Nail Avulsion (PNA), involves the painless removal of the offending portion of the nail. In most cases, a chemical (phenol) is used to help with preventing regrowth of the removed section of nail.
Wide or flat toenails
When toenail bracing isn't suitable
Benefits at a glance:
Quick and effective (98.5% success rate*)
Option of needle-free local anaesthetic prior to injection.
Fast recovery & minimal discomfort following the procedure.
No need for ongoing appointments once successfully removed
ABOUT TOENAIL SURGERY
Partial Nail Avulsion (PNA)
A minimally invasive surgical technique that permanently removes one or both sides of the affected nail. You are left with a slightly narrower nail, without the ingrown section.
Total Nail Avulsion (TNA)
In rare cases, it may be recommended that the entire nail be removed - this is called a total nail avulsion and is usually reserved for significantly deformed or problematic nails.
A simple in-clinic procedure that is performed under local anaesthetic. It takes around 20 minutes per toe and you can walk straight out of the clinic afterwards.
You can expect very minimal post-operative pain and a complete healing of the surgical site within 2-5 weeks. One or two re-dressing appointments are required in the first 2 weeks following the procedure.
A CLOSER LOOK AT TOENAIL SURGERY - 9 STEPS
Prior to recommending surgery, your podiatrist will conduct an assessment of your ingrown toenail condition and discuss any factors that may affect the suitability of surgery. For the vast majority of those suffering from an ingrown toenail condition, toenail surgery is a safe, quick and painless procedure. The steps involved during a Partial Nail Avulsion with chemical albation of the nail matrix are displayed below.
1 A chronic ingrown toenail condition that would benefit from nail surgery is identified. Ouch!
3 Once the toe is numb, an elastic ring called a tourniquet is placed around the base of the toe to control any bleeding. The toe is prepped with an antiseptic and a small flat tool is used to separate the section of nail that is to be removed from the nail bed.
5 A very thin bladed tool is used to finish the cut started by the clippers. The tool can finish cutting the nail to the base (under the skin) without the need for any skin incisions.
7 A chemical called phenol is used to help in the prevention of nail regrowth. Phenol also helps minimise any post-operative discomfort. After each application of phenol, we apply a saline flush to clear any debris and remaining phenol from the surgical site.
9 Once healed, you're left with a slightly narrower nail that no longer causes you any pain or discomfort.
4 Specialised clippers are used to make the initial cut that will isolate the segment of nail to be removed and determine the new width of the nail – the exact location of this cut will be discussed prior to surgery.
6 Forceps are used to remove the problematic section of nail. The base of the nail section is checked to make sure the matrix has been removed – this is an important step in the prevention of regrowth.
8 The tourniquet is removed and a sterile surgical dressing is applied to the toe. The toe needs to be re-dressed until it has completely healed.
A SUCCESSFUL PARTIAL NAIL AVULSION
1. Cosmetically appealing
2. No re-growth
3. No pain
4. No re-occurring infections
Following the procedure:
You’re able to walk immediately afterwards.
Open toe shoes/sandals or thongs are recommended so there’s no pressure on the surgical site following the procedure.
We recommend you don't drive for 12 hours following administration of the local anaesthetic. Ideally, make arrangements for getting a lift home from the Sydney Ingrown toenail clinic with someone following the procedure.
Go directly home following the procedure and rest with your leg elevated for the remainder of the day.
Excessive walking (e.g. walking for exercise) is discouraged in the first 3-6 days postoperatively. Please discuss with your podiatrist your individual return to sport/exercise recommendations.
Tight fitting sports or dress shoes are discouraged in the first 3-4 weeks following the procedure.
You will be advised to return for 1-2 appointments in the 2 weeks following the procedure for review, cleaning of the toe and re-dressings.
Following the final re-dressing, you can care for the toe at home until it has completely healed. We will show you how to re-dress the toe yourself.
A final check will be recommended at 10-12 weeks post-operatively.
Want to see a real-life example of a Partial Nail Avulsion? If so, check out this well written and documented blog from Walk Foot Care in the UK.
* 98.5% long term success rate in a study of 197 patients undergoing nail surgery with the use of phenol.