JOURNAL ARTICLE
RANDOMIZED CONTROLLED TRIAL
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[The Comparison and Evaluation of Partial Nail Avulsion and Total Nail Avulsion with Plate Replacement with Traditional Total Nail Avulsion].

OBJECTIVES: To determine the different effects of partial nail avulsion and total nail avulsion with plate replacement with traditional total nail avulsion.

METHODS: Patients were divided into three groups randomly ( n =20): total nail avulsion group (control group), partial nail avulsion group, and total nail avulsion with plate replacement group (nail replacement group). The rating of pain [visual analogue scale (VAS) score], the wound healing time, the nail growth time , and the score of satisfaction were analyzed.

RESULTS: The baseline data of three groups had no significant difference. From 8 h, VAS score of partial nail avulsion group and nail plate replacement group was different with that in control group ( P <0.05) . 48 h after surgery, the pain disappeared totally in partial nail avulsion group, largely in nail replacement group [90% (18/20) ] , which were both significantly different with that of control group [45%(9/20)] ( P <0.05) . Healing time of three groups was listed as follow: control group>nail replacement group>partial nail avulsion group ( P <0.05) . Nail growth time was the longest in control group, the shortest in partial nail avulsion group ( P <0.05, vs. control group), and median in nail replacement group. The score of satisfaction in control group was lower than that in partial avulsion group and nail replacement group ( P <0.05) , of the later two there was no statistic difference.

CONCLUSIONS: By decreasing the defect of nail plate and the injury of nail bed, and by smoothing the pain, partial nail avulsion benefits the wound-healing. Nail plate should be replace to get further benefits.

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