Knot Technique

İnce, Bilsev; Dadacı, Mehmet; Altuntaş, Zeynep

doi:10.1097/dss.0000000000000271

Cited by 14 publications

(2 citation statements)

References 8 publications

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“…Patients with ingrown toenail experience pain, limitation of daily activities, and topical infections. Various surgical interventions have been introduced by surgeons for treatment of ingrown toenail, such as matricectomy [ 4 , 5 ], phenolization [ 6 ], Winograd technique [ 7 , 8 ], knot technique [ 9 ], and soft tissue resection without matricectomy [ 10 , 11 ]. Each intervention has certain advantages and disadvantages based on the clinical scenario.…”

Section: Discussionmentioning

confidence: 99%

A new perspective on the nail plate for treatment of ingrown toenail

Tian

Fa-bin

et al. 2018

Dermatol Praat Concept

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BackgroundOur routine treatment for ingrown toenail was removal of the surrounding soft tissue and shortening the bone of the distal phalanx. We determined the range and volume of excision based on our experience without an objective standard and routinely performed avulsion of the nail plate.ObjectiveTo take the nail plate as an objective mark during surgical treatment of ingrown toenail to ensure accurate excision.Patients and MethodsFifteen patients with ingrown toenails were treated with this technique. We used the lateral borders of the nail plate as a landmark to determine the volume of soft tissue surrounding the nail plate and distal phalanx to be removed. No avulsion of nail plate was performed.ResultsNo recurrence was observed during the follow-up period, which ranged from 24 to 35 months (29.9 months on average). The visual analog scale for pain showed significant pain relief in the patients. The Vancouver Scar Scale showed acceptable cosmetic outcomes. The width of excised skin ranged from 3.5 to 6.2 mm (5.0 mm on average).ConclusionThe use of the lateral borders of the nail plate as a landmark for surgical intervention of ingrown toenail offered excellent outcomes and reduced loss of healthy tissues.

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Section: Discussionmentioning

confidence: 99%

A new perspective on the nail plate for treatment of ingrown toenail

Tian

Fa-bin

et al. 2018

Dermatol Praat Concept

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“…Following this, the wound margins are sutured with non-absorbable suture, tying approximately 8-10 knots without cutting the stitches beneath the nail. These knots serve to anchor the soft tissue and maintain the elevation of the nail edge [42]. In a follow-up study by Ince et al, the knot technique was compared to the Winograd method, highlighting that this technique serves as a straightforward and efficient approach for treating ingrown nails.…”

Section: Knot Techniquementioning

confidence: 99%

Surgical Strategies for Ingrown Toenails: A Comprehensive Review of Techniques, Outcomes, and Advancements

Hassan,

Khan,

Shah

et al. 2024

Cureus

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Ingrown toenail (IGTN), known as onychocryptosis or unguis incarnatus, is a painful condition affecting the big toe, with symptoms including pain, inflammation, and infection. This review explores surgical options for IGTN, categorized into altering the nail plate or diminishing periungual tissues. Conservative treatments alleviate early-stage symptoms, while surgical interventions are reserved for severe cases. Various surgical techniques are discussed, such as the Winograd technique, Vandenbos procedure, chemical matricectomy, radiofrequency ablation, bipolar diathermy, carbon dioxide laser ablation, Zadik's procedure, Howard-Dubois procedure, Super U procedure, Noël's procedure, knot technique, and toenail paronychium flap. The choice of procedure depends on the severity and recurrence of IGTN.

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