partial nail avulsion + phenolisation, Step by Step

1. Create aseptic environment
2. Local anaesthesia (without epinephrine)
3. Apply rubberband
4. Release eponychium and lateral side
5. Cut complete nail (proceed under the cuticle), when the proximal edge is cut a 'give' can be felt
6. Grasp as much nailplate into needledriver or hemostat
7. Remove nailplate by gentle traction and rotating outward
8. Check if complete nail root has been removed
9. Clean matrix and lateral border
10. Apply protective petroleum jelly on skin
11. Insert cotton swab with phenol and apply gentle pressure and rotate inward for 60 seconds
12. Rinse and neutralize with alcohol 70%
13. Repeat phenol-alcohol procedure once
14. Clean wound
15. Remove rubber band!
16. Apply pressure bandage