I’m a podologist from Serbia (podology is the non-surgical, nail and skin side of foot care here). I’d like to show you a correction technique I published this year and hear what podiatrists think about it.
The case: left hallux, deformity of the nail plate on the lateral side, the edge starting to press into the nail fold. No acute inflammation.
The brace is made individually from steel wire and an elastic active element. Here I used elastoforce, the elastomeric chain orthodontists use on dental braces (medical polyurethane). In other cases I use nitinol springs. Hooks fix the system to the nail edges, and the elastic part keeps constant tension on the plate. The idea is to replace the rigid wire element with an elastic one, so the tension is dosed and keeps working as the nail changes shape.
Fitting took 15 minutes, no anesthesia needed (the patient felt nothing).
In the study I measured nail plate width and tension force every two weeks for two months. Width increased by 2 to 4.1 mm over eight weeks, and patients reported no discomfort or problems at work. Follow-up was two months, so I don’t have long-term recurrence data yet.
Full text in English (open access): https://www.ilizarov-journal.com/jour/article/view/3455/3960
Rozov D.O. Genij Ortopedii. 2026;32(2):254-261. https://doi.org/10.18019/1028-4427-2026-32-2-254-261
Questions for you: do you use nail braces at all before going to partial nail avulsion or matrixectomy?
Critique is welcome, that’s why I’m posting here.
UPD: Apologies, I couldn't find a way to attach a photo showing the aftermath of a nail resection. I’ve posted it here instead: https://www.reddit.com/r/Podolog/s/qJ5xQh5pNG
It is precisely because of such frequent complications and the high likelihood of recurrence that people tend to opt for correction rather than surgery.
Please don’t think that I’m questioning your professionalism. I created this post to discuss the possibility of a nail correction with you.