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Step 1: (Insertion of the 1st clasp leg)

  • Take the first leg of the clasp out of the package and fix it with the pliers near the hook.
  • Now carefully hook the fixed leg under the nail plate of the side that is not so badly affected.

Proceed:

  • Check, that the hook corresponds to the nail gauge (thickness) – most securely at the front edge of the nail. If necessary, adjust the hook until it optimally encloses the lateral edge of the nail.
  • With the back of the end hook first, the respective leg of the clasp is inserted along the side of the nail – as deep as possible – into the nail fold.

  • Once the desired position has been reached, hook the wire under / firmly on the side edge of the nail with a secure twisting movement in the direction of the nail plate.
    (End hook encloses the lateral edge of the nail)

  • Ask your patient whether the seat of the clasp leg is pain-free when pressure and tension are applied.

Step 2: ( Notch the “V”.)

  • Form the hooked wire onto the nail by carefully pulling it over the nail plate.

  • Now notch the wire with the Notch plier, close to the lateral edge of the nail where the clasp leg is hooked.

  • The “V” must point to the nail matrix and lie flat on the nail

The “V” for what?

  • ensures a stable support on the nail
  • Prevents twisting (corkscrew effect)
  • makes the claps leg more elastic and softer
  • Forms the basis for traction force
  • Forms the connection point to the second leg of the clasp
  • Variation with two “Vs” possible

Step 3: (Set the activation mark)

  • Use the pencil to mark the point on the nail plate where the two legs of the clasp should meet
  • The marking is usually “halfway” to the top of the “V”

The variations of the traction force:

  • The NORA corrects the nail shape only via elastic spring forces (yellow marking)
  • Minimal pretension, the NORA corrects the nail using spring forces and slight tensile forces (green marking)
  • Strong traction when the mark is at the beginning of the notch (red mark)

Step 4: (Insertion of the 2nd leg of the clasp)

  • Repeat the same process as described in step 1 with the second leg of the clasp.

  • The 2nd leg crosses the marking on the nail plate

  • Coming from the outside, the flat-nosed plier gets applied directly in front of the marking

  • Now the leg of the clasp is bent vertically upwards by 90° – 120°

  • Now the activation can be more precisely adapted to the individual nail situation, which means it can also be reduced.

Step 5: (connection of the two clasp legs)

  • The first leg of the clasp is fixed by hand
  • The second leg of the clasp is fixed either by hand or with the pliers
  • Tension both legs of the clasp and press down onto the nail plate
  • Check whether the position is still correct and whether the patient feels pain

  • If everything is in order, the clasp legs can be twisted together by about 180° just above the nail plate
  • The point of the “V” tightens around the crease as you twist

Step 6: (remove clasp ends)

  • The hook can be brought very close to the nail plate by bending it down with a twisting movement of the flat-nosed pliers
  • To do this, the legs of the clasp are clamped one after the other approx. 4-5 mm behind the hook

  • The flat-nosed pliers make a 90° upward turn
  • In this movement, the 4 – 5 mm long section of wire is pushed down to the nail plate

  • When the NORA sits well, the excess wire sections that are no longer required can be clipped off briefly with the side cutters
  • Important! As close to the twist as possible

Sealing of the clasp

  • The connection point is sealed with a commercially available, hard-curing polymer acrylate
  • The clasp is done!
  • The patient should come to you for a check-up after about 2-3 days.
  • If everything is fine at this check-up appointment, the patient will present to you at regular intervals of 4-6 weeks.
  • As soon as the effect of the Nora brace is no longer sufficient, a new Nora brace is applied.

Become a Nora nail correction clasp therapist

BRONZE STATUS
• Online training with microphone & camera to interact with the lecturer and a foot model to practice on
• Previous knowledge and practical, regular experience with wire clasp systems

SILVER STATUS
• On-site training
• für Teilnehmer, die keine oder wenig Erfahrung mit der Orthonyxiebehandlung haben und Teilnehmer, die gerne praktisch lernen.

GOLD STATUS
• Training of the NORA nail correction trainers
• Day training with final test in Dortmund

Nora Nagelspange

Melanie Halfmann
Wambeler-Holz 10-12
44328 Dortmund

Tel.: 0231-99 33 42 68
Fax: 0231-2413380
info@nora-spange.de

Schulungen

Unsere Schulungen werden durch das Fortbildungszentrum Halfmann durchgeführt

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