Comparison between Knot and Winograd techniques on ingrown nail treatment

Abstract

This study demonstrated that the knot technique, consisting of wedge excision of soft tissue without affecting the nail itself, is a simple technique to treat ingrown nails with a lower complication rate and shorter surgical time. We believe that successful treatment of ingrown nails depends only on excision of soft tissue, with no need to operate on the nail bed.

Plastic surgery of nail folds combined with Arkada’s method in patient with ingrown nail – case report

“…When the toe was completely immobilized, special tools were used to push away the enlarged nail folds and enable exposure of the whole nail plate. Then all the losses of nail plate were filled and the outer surface of the nail ojs.pum.edu.pl/pomjlifesci Tomasz Trochanowski, Dariusz Kotlęga, Monika Gołąb-Janowska consisted of partial avulsion of the nail combined with the adjacent nail fold, nail bed and nail matrix, several other methods have been used [1,12,15]. In 1950, Frost modified Winograd's procedure by changing the incision method [1].…”

“…The risk of recurrence is related to inadequate excision of the matrix, which causes the recurrence due to renewed growth of spicules. These surgical methods are also connected with irreversible lesioning of the nail plate, nail bed or nail folds, which usually leads to poor aesthetic effect [1,6,12,15,16]. The first described procedure which included the complete preservation of the nail matrix and nail plate was Vandenbos' procedure, described by Vandenbos and Bowers in 1959 [13, 16, 17, 18].…”

“…In 2008, Noël described a similar procedure; however, the wound was closed with sutures [6,16]. Also Ince et al described that wedge excision of soft tissue without affecting the nail itself lead to a lower complication rate [12]. All these procedures did not include any completion of the impaired nail plate.…”

“…chemical intervention) [4,7,9,10,11]. However, surgical excision of nail folds could be performed with complete conservation of the matrix, nail bed, and nail plate [6,12,13]. In this article is Plastic surgery of nail folds combined with Arkada's method in patient with ingrown nail -case report presented a method which fulfills these criteria and also combines both conservative and surgical methods of treatment.…”

A case of ingrown nail using buckle VHO‐Osthold® Perfect as a method of conservative treatment

“…This problem is observed in 20% of the population, in all age groups, but is most common in teenagers and young adults aged 11-30 years. [1][2][3][4] The process of nail ingrowing stimulates the natural defense mechanisms of the body, in the form of inflammation. The basic symptoms include swelling, redness, and pain in the nail fold at the point of the ingrowing or within the entire phalange.…”