Practical podiatry : . ; and that the nail body as itpushes continually forward, cannot force this mass backinto its normal position and, of necessity, must grow into it. There is no lateralhypertrophy of the nailnor does it present anymisdirected growth. Keeping this the-ory in mind, it wouldseem unnecessary andpoor surgery to removethe portions of thematrix of the nail fromwhich the affected sidedevelops when in real-ity it is not the nailthat is at fault butrather the soft tissuesadjacent to it; and theingroAving of the nailbody is purely secon-dary to the displace-ment of these soft tis-su
Practical podiatry : . ; and that the nail body as itpushes continually forward, cannot force this mass backinto its normal position and, of necessity, must grow into it. There is no lateralhypertrophy of the nailnor does it present anymisdirected growth. Keeping this the-ory in mind, it wouldseem unnecessary andpoor surgery to removethe portions of thematrix of the nail fromwhich the affected sidedevelops when in real-ity it is not the nailthat is at fault butrather the soft tissuesadjacent to it; and theingroAving of the nailbody is purely secon-dary to the displace-ment of these soft tis-sues. As ever in sur-g e r y, however, it re-mains a matter of judg-ment as to which oper-ation should be done soas to obtain the best results. When the palliative methodsfail to be effective, the radical operation is permissible—never the reverse. The palliative method has for its object the removalof the portion of nail whose irritant free border is embeddedin the tissues and, this accomplished, to treat these softer. ONYCHOCEYPTOSIS (SUPPURATING) 218 PODIATRY tissues in such a manner that they will become normal asto position and all else. By such a manner and method oftreatment, sufficient space is obtained at its lateral edge forthe nail to grow to its full width and in time to become per-fectly normal as to appearance, function and feeling. The straight nail chisel, in most intances, can be used,but where the ingrown portion of nail is deeply embedded,a right or left curved chisel can be substituted with greatersuccess. The curve in this variety of chisel aids the oper-ator in lifting the nail out of its bed, while at the same timethe cutting process is not hindered. Dressing. Following the removal of the offending por-tion of nail, the operator should make sure that no nailslivers, previously existing or of his own making, remainin the nail fold. Assured of this, the parts should then bethoroughly irrigated either with alcohol, 60%, or mercuricchloride, 1/4000. Hydrogen
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