{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T05:57:50Z","timestamp":1791266270558,"version":"4.1.0"},"reference-count":74,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T00:00:00Z","timestamp":1785110400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T00:00:00Z","timestamp":1785110400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Foot and Ankle Research"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Non\u2010incisional nail surgery is a common surgical procedure performed by clinicians, however, there is considerable variation relating to decision\u2010making for procedure choice, surgical technique, and clinical rationale to inform practice. The aim of this scoping review is to map the extent and type of evidence relevant to surgical approach, decision\u2010making, and clinical rationale informing non\u2010incisional nail surgery in clinical practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The inclusion criteria were full text papers, available in English that discussed non\u2010incisional nail surgery with or without matrixectomy and included procedural steps and evidence of a clinical rationale to inform practice. A systematic search was conducted of the following databases: Medline, Web of Science, Emcare, CINAHL, ProQuest (Health and Medical), ProQuest (Nursing and Allied Health) and Health Collection. The reference lists of review articles were screened for additional studies. Relevant data were extracted, charted, and grouped into categories. Compiled data were then transferred into summary tables as frequencies and percentages.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 110 articles were included in this review. The articles were published between 1965 \u2013 2025. The procedural steps and clinical rationale were grouped into themes, highlighting a considerable variation in practice relating to tourniquet use, matrixectomy method, concentration of caustic agent, application time and irrigation practices following cauterisation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This review has identified inconsistency in the documented practice of non\u2010incisional nail surgery based on published literature spanning a period of 37\u00a0years. Specifically, this surgical intervention appears to be informed by historical practice and there is little evidence of a common approach. The authors propose that clinical practice guidelines are needed to provide an evidence\u2010based approach to decision\u2010making in non\u2010incisional nail surgery. The development of clinical guidelines including a structured decision\u2010making framework, would support consistency in practice and facilitate evidence\u2010based decision\u2010making.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jfa2.70191","type":"journal-article","created":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T05:34:15Z","timestamp":1785216855000},"source":"Crossref","is-referenced-by-count":0,"title":["Clinical Rationale for Procedural Steps When Performing Non\u2010Incisional Nail Surgery: A Scoping Review"],"prefix":"10.1002","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9096-1144","authenticated-orcid":false,"given":"Anna","family":"Horn","sequence":"first","affiliation":[{"name":"School of Allied Health &amp; Exercise Sport Sciences Charles Sturt University  Thurgoona New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0404-0424","authenticated-orcid":false,"given":"Caroline","family":"Robinson","sequence":"additional","affiliation":[{"name":"School of Allied Health &amp; Exercise Sport Sciences Charles Sturt University  Thurgoona New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6996-6848","authenticated-orcid":false,"given":"Luke","family":"Donnan","sequence":"additional","affiliation":[{"name":"School of Allied Health &amp; Exercise Sport Sciences Charles Sturt University  Thurgoona New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,27]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.52501"},{"key":"e_1_2_10_3_1","volume-title":"Ingrown Toenails","author":"Chabchoub I.","year":"2025"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/jfa2.12017"},{"issue":"1","key":"e_1_2_10_5_1","article-title":"Toenail Surgery: Indications, Options and Techniques","volume":"20","author":"Reilly I.","year":"2021","journal-title":"Dermatology Nursing"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm9030845"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.5070\/d3196018560"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13047\u2010023\u201000631\u20101"},{"key":"e_1_2_10_9_1","volume-title":"Chapter 10: Scoping Reviews in JBI Manual for Evidence Synthesis","author":"Aromataris E. 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