Toenail Implants

[MurrayButler]

In clinic today, a patient approached me asking about a procedure she discovered online. Several months ago the pt had both nails (hallux, bilateral) totally removed and treated with Phenol to discourage regrowth. She has since grown discouraged with the overall cosmetic status of her toes and found a procedure online recommended by Dr. Robert Brodkin from Texas in which (as far as I understand) he would insert titanium screws into the distal phalanx which would protrude superficially on the dorsum of the toe where the nail matrix had previously been. There the screws would serve as an anchor for a synthetic nail to be placed.
Realizing the great risk of infection involved, I felt the need to find more information on the procedure. I am having some problems finding info on the procedure so I was hoping for help if anyone has time. So far, here's a couple of the links I've found:
www.arch-pain.com (his personal site, little info because his forum was down at the time)
http://jscms.jrn.columbia.edu/cns/2006-05-02/vanouteren-faketoenails

Happy Hunting and thanks for the help

WMB
SCPM 2009

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[Dr_Feelgood]

Vanity, the devils playground. Very interesting stuff though.

 

[Footfxr]

All my hard work, studying, operating, dealing with interns, and it has come to this. Woe is me.