• 1

    Kruijff, S, RJ van Det, GT van der Meer, et al. :Partial matrix excision or orthonyxia for ingrowing toenails. .J Am Coll Surg 206::148. ,2008. .

    • Crossref
    • Web of Science
    • Search Google Scholar
    • Export Citation
  • 2

    Harrer, J, V Schöffl, W Hohenberger, et al. :Treatment of ingrown toenails using a new conservative method: a prospective study comparing brace treatment with Emmert’s procedure. .JAPMA 95::542. ,2005. .

    • Search Google Scholar
    • Export Citation
  • 3

    Kocyigit, P, S Bostanci, E Ozdemir, et al. :Sodium hydroxide matricectomy for the traetment of ingrown toenails: comparison of three different application periods. .Dermatol Surg 31::744. ,2005. .

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 4

    Yang, KC and YT Li. :Treatment of ingrown great toenail associated with granulation tissue by partial nail avulsion followed by matricectomy with sharpulse carbon dioxide laser. .Dermatol Surg 28::419. ,2002. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5

    Noel, B . :Surgical treatment of ingrown toenail without matricectomy. .Dermatol Surg 34::79. ,2008. .

    • Crossref
    • PubMed
    • Web of Science
    • Search Google Scholar
    • Export Citation
  • 6

    Abby, NS, P Roni, B Amnon, et al. :Modified sleeve method treatment of ingrown toenail. .Dermatol Surg 28::852. ,2002. .

  • 7

    Yang, G, NL Yanchor, and SA Jones. :Treatment of ingrown toenails in the pediatric population. .J Pediatr Surg 43::931. ,2008. .

    • Crossref
    • PubMed
    • Web of Science
    • Search Google Scholar
    • Export Citation
  • 8

    Erdogan, FG . :A simple, pain-free treatment for ingrown toenails complicated with granulation tissue. .Dermatol Surg 32::1388. ,2006. .

A Quantitative Method for Measuring Forces Applied by Nail Braces

Fatma G. Erdogan Dermatology, Ufuk University, Mevlana Bulv. No:86–88, (Konya Yolu), Ankara, Balgat 06520, Turkey. (E-mail: gulruer@gmail.com)

Search for other papers by Fatma G. Erdogan in
Current site
Google Scholar
PubMed
Close
 MD, MPH

Background:

Nail bracing is a conservative method used for ingrown nails; however, lack of objective measurements limits its use for various nails.

Methods:

Double-string nail braces with extra metal springs were applied to 12 patients with 21 chronic, thick, and overcurved ingrown nails. Force was measured with a force gauge meter. Treatment was stopped once patients stood on their tiptoes and walked in shoes pain free without braces. A force gauge meter was also used on a model nail to show the forces applied by various nail braces and to compare their pulling forces.

Results:

After 6 to 10 months of treatment, all of the patients were pain free; 600 to 1,000 centi Newtons of force were applied to the nails. As the width of the nail increased, so did the force.

Conclusions:

Braces exert more force on larger nails, which may shorten treatment durations. By measuring forces, it may be possible to standardize force and duration of treatment according to variables such as nail thickness, nail width, angle of ingrown nail, and duration of symptoms. (J Am Podiatr Med Assoc 101(3): 247–251, 2011)