I just keep them clipped short.
Last dog (Collie) ripped one quite badly, vet simply cleaned it and wrapped it up with vet wrap and told me how to clip them short to avoid future occurrences and avoid cutting to the quick. It quickly healed. Advised on suitable clippers. £20 well spent (vet's bill).
He was a bit nesh, old and set in his ways, so never liked my painless clipping but put up with it dogfully.
New dog (standard poodle X 1/4 Irish setter, so slightly a Doodle), 6 months old, still a puppy in nature, but a big strong one) was introduced early to the clippers as part of regular grooming so doesn't blink an eye.
It's simple enough, keep them clipped short and I think most problems can be avoided. I mean, if you just let your finger or toe nails grow, you'd soon look a mess or worse. There's nothing to keep a dog's dew claws from just growing, they don't naturally get ground away when moving about, so I think that they need to be clipped short regularly.
These are my thoughts on it, and I think that my dogs do make use of them, so I'd be extremely reluctant to have them surgically removed.