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Wheeless' Textbook of Orthopaedics
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Exposure of Nail Matrix and Proximal Nail Fold




- Discussion:
    - insert the freer elevator under the nail fold for nail proctection;
    - make two full thickness tangential incisions laterally and proximally
          starting and the proximal-lateral borders of the nail fold;
    - retract the flap w/ skin hooks, to expose the matrix;
    - note: this technique may damage the dorsal germinal matrix, which
            can result in iatrogenic damage to the nail bed;
            - hence, keep a high threshold for this type of exposure;






Original Text by Clifford R. Wheeless, III, MD.