1 2 in the classic gutter splint method the ingrown edge of the nail plate is freed up to the extreme proximal part and then splinted using a gutter.
Gutter splint for ingrown toenail.
Trick of the trade.
Toenail splinting the referenced article describes splinting the toenail essentially lifting the offending edge of the toenail so subsequent growth does not push into the tissue.
In the setting of normal anatomy they are usually treated conservatively but the presence of a sharp edge of the nail in the ulcer may prevent wound healing.
Anesthetize the toe either by topical anesthetic or by nerve blocks not always necessary for mild cases.
This method requires anesthesia.
In the classic gutter splint method the ingrown edge of the nail plate is freed up to the extreme proximal part and then splinted using a gutter.
Isolation of the nail plate from the ulcer bed using a gutter.
A conservative method to gutter splint ingrown toenails ingrown toenails can be due to trauma improper nail cutting and or anatomic abnormalities of the nail apparatus.
Conservative approaches for the treatment of ingrown toenails without infection include placing a cotton wisp dental floss or gutter splint with or without acrylic nail under the ingrown nail.