A new, effective treatment alternative for onychomycosis is presented. It involves the avulsion of the affected toenails and daily application of topical ketoconazole cream. It is an ideal procedure when few nails are involved or when the patient is not a candidate for oral systemic therapy. The authors provide a brief review of past treatment methods, the medication itself, and details of the treatment course.
Verrucae are common skin lesions seen mainly in younger patients. They often are seen on the plantar surface of the foot. Many different types of treatments have been used over the years, with varying levels of success. The authors present a thorough review of previous treatments and present a new and effective method of surgical excision using radio wave technique. The success of this treatment is high, and the postsurgical pain and complication level is minimal.
There has been little emphasis placed on the excision of accessory bones of the foot. The authors present a review of the literature and a description of a surgical procedure for excision of the hallux interphalangeal joint sesamoid using minimal incision technique. A detailed analysis of the anatomy involved is also presented. A variety of other procedures for excision of this accessory bone are reviewed.