Skin graft replacement of the nail bed: a radical treatment for onychomycosis of the big toe

Skin graft replacement of the nail bed of the big toe was used in 3 patients with onychogryposis [6 toes] and in 12 patients with onychomycosis [14 toes] with excellent results. The procedure is a simple outpatient one. Symptoms are cured, the cosmetic appearance is satisfactory and prolonged antifungal treatment is not necessary. We strongly recommend this treatment for cases with advanced onychomycosis affecting the big toe in which other methods have failed