Evidence-Based Treatment of Ingrown Toenails

Razak, Arif; Ahmad, Mubashshar

doi:10.1007/978-3-319-41142-2_48

Cited by 2 publications

(1 citation statement)

References 30 publications

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“…A severe inflammation or infection can be solved with surgery, but an infection with onycholysis needs a resection to control the adhesion of the toenail before the surgery [8]. Although clinicians favor noninvasive methods to protect the lateral nail fold [9], some researchers have questioned the adoption of conservative and nonsurgical methods, due to the high rate of recurrence, suggesting instead surgical approaches, even if they are more invasive [10,11].…”

Section: Introductionmentioning

confidence: 99%

The Modified versus the Conventional Winograd Technique for the Treatment of Onychocryptosis: A Retrospective Study

Oliveira

Izquierdo-Cases

Nova

et al. 2022

IJERPH

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The Winograd technique is a common surgical treatment for ingrown toenails. Attempting to improve the results of this technique, two modifications were adopted: the incisional approach and the use of adhesive approximation strips. This study aimed to compare the conventional technique and the modified version based on (i) postoperative complications, (ii) healing time, (iii) recurrence rate, and (iv) overall patient satisfaction. A longitudinal, observational, and retrospective design was used, with a sample of 208 patients divided into the modified Winograd technique (n = 111) and the conventional Winograd technique (n = 97) in three clinics in Portugal, with follow-up periods of more than 15 years and 10 years, respectively. The modifications to the Winograd technique revealed fewer postsurgical complications, in terms of infections (1.8% vs. 20.62%, p < 0.010), recurrence rate (2.7% vs. 5.21%, p > 0.05), shorter recovery time (8.10 ± 0.76 vs. 14.51 ± 3.48 days, p < 0.001), and lower postoperative pain and better satisfaction with the functional and esthetic results, with the patient’s overall satisfaction, and with significant differences in relation to the conventional technique (p < 0.001). The modifications performed showed a lower rate of infection, decreased healing time, and better patient satisfaction, suggesting that it may be adopted in clinical practice for the treatment of stages II and III ingrown toenails.

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Section: Introductionmentioning

confidence: 99%

The Modified versus the Conventional Winograd Technique for the Treatment of Onychocryptosis: A Retrospective Study

Oliveira

Izquierdo-Cases

Nova

et al. 2022

IJERPH

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A new modification of the Winograd technique for the treatment of ingrown toenail

Oliveira¹,

Cases²,

Santos³

et al. 2022

Rev. Esp. Pod.

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Introduction: Ingrown toenails are one of the most common nail pathologies, being the main reason for consultations for nail pain. The Winograd technique, commonly known as wedge excision, is one of the most used techniques due to the low rate of recurrences and overall patient satisfaction. We consider it possible to mitigate some possible disadvantages, reducing the already low risk of infection, as well as the risk of onycholysis, by modifying the incisional approach and using only adhesive approximation strips. The objective of this work is to proves the effectiveness of the modification of the original Winograd technique for the treatment of ingrown toenail. Patients and methods: A retrospective study, with a sample of 111 patients and 159 digits were operated on between 2003 and 2019 in clinics in Vila Nova de Famalicão, Viana do Castelo and Lisboa (Portugal), with a follow-up period of more than 15 years. Data on: a) postoperative complications, b) the time elapsed to wound healing, c) the rate of recurrences, and d) general patient satisfaction were collected.Results: The results revealed 1.8 % of heavy bleeding, 3.6 % of postoperative complications, 2.70 % of recurrences and 8.10 ± 0.76 of wound healing days. Patients reported very low postoperative pain (0.9 %) and high satisfaction results (99.1 % for the functional result; 94.6 % for the aesthetic result and 97.3% for patient satisfaction).Conclusions: The modifications performed have better results than those reported with the conventional technique, in terms of recurrence, average period of time from surgery to wound healing and return to daily activities and general patient satisfaction, suggesting its safe current use in clinical practice for the treatment of grades II and III ingrown toenail. ResumenIntroducción: Las uñas encarnadas son una de las patologías ungueales más frecuentes y puede utilizarse la técnica de Winograd, entre otras, para su tratamiento quirúrgico. Propusimos reducir el riesgo de infección, onicolisis y tiempo de cicatrización, modificando el abordaje incisional y utilizando tiras adhesivas de aproximación.

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Evidence-Based Treatment of Ingrown Toenails

Cited by 2 publications

References 30 publications

The Modified versus the Conventional Winograd Technique for the Treatment of Onychocryptosis: A Retrospective Study

The Modified versus the Conventional Winograd Technique for the Treatment of Onychocryptosis: A Retrospective Study

A new modification of the Winograd technique for the treatment of ingrown toenail

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