www.surgicalnotes.co.uk

Indications

• Ingrowing toenail
• Onychogryphosis
• Nail infections

Procedure (Zadik's operation)

1. LA ring block
2. Apply rubber tourniquet
3. Incise nail bed (transversely) + elevate flaps
4. Remove nail plate with heavy scissors
5. Cut across nail bed down to bone and continue to nail fold, remove nail bed (get all of germinal matrix)
6. Suture skin flaps at side