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pre-op assessment
careful assessment of the patient is required before surgery
‘best practice risk management’ should be carried out - particularly in the elderly
circulation to the toe should be checked
arrangements need to be in place for the patient to be transported home
informed consent needs to be obtained
Notes:
Ingrowing toenails can also occur in older patients and maybe associated with diabetes, trauma, fungal infection or ischemia
It is important to fully assess the older patient where there are associated problems.
It is sometimes best just to remove the nail, particularly if it is a fungal infection or a result of trauma.
With trauma the nail is often distorted.
Other conditions, which commonly require surgical intervention, are onychogryposis and fungal infections.