Objective To determine the different effects of partial nail avulsion and total nail avulsion with plate replacement with traditional total nail avulsion. Methods Patients were divided into three groups randomly ( n=20): total nail avulsion group (control group), partial nail avulsion group,and total nail avulsion with plate replacement group (nail replacement group). The rating of pain 〔visual analogue scale (VAS) score〕, the wound healing time, the nail growth time ,and the score of satisfaction were analyzed. Results The baseline data of three groups had no significant difference. From 8 h, VAS score of partial nail avulsion group and nail plate replacement group was different with that in control group ( P P P P P