Winograd technique. A, Eponychium is incised. B, Nail plate is scored. C, Nail splitter is used to divide nail. D, Small elevator lifts plate atraumatically from underlying matrix. E, Entire portion of plate, which has been removed from body of nail, is removed using straight hemostat. F, Pearly colored matrix is exposed. Matrix curves on undersurfaces of paronychium and eponychium. This must be thoroughly removed. G, Germinal matrix folding on eponychium and paronychium must be removed by sharp dissection from around nail horns. Nail plate and matrix have been removed completely. H, Closing wound is optional, but convalescence is shortened. I, Dressing remains in place for 24 to 48 hours. SEE TECHNIQUE 88.8.