Deck orthopedic surgery  in the treatment of cure obstinate ingrown nail: an analysis of 25 cases        XIA Yue-shan*，ZHAO Hai-yong，MA Na .* Railway Central Hospital of Tangshan , Tangshan 063000，China
Corresponding author：ZHAO Hai-yong，E-mail：mana77@163.com
Abstract    Objective    To adopt a method for curing the obstinate ingrown nail by transplanting a soft tissue flap with a pedicel under the edge of the toenail in deck orthopedic surgery.　Methods    The clinical data of deck orthopedic surgery to cure obstinate ingrown nail performed between February 2001 and June 2009 at Railway Central Hospital of Tangshan  were analyzed. Remove prismatical skin at the edge of the toenail, design a soft tissue flap with a pedicel, strip off the edge of the toenail bed from the toebone, transplant a soft tissue flap with a pedicel under the edge of the toenail to alter the ingrowing toenai bed and deck deformity.　Results    All cases of obstinate ingrown nail after the operation had recovered with satisfied results under 6 months to 1 years follow-up.　Conclusion    The operation gets rid off the causes of obstinate ingrown first toenail, has few complications and few recurrences.