Polyethylene Nail Brace for Ingrown Toenails Treatment: A Randomized Clinical Trial

Abstract

Background: Onychocryptosis is one of the most prevailing onychopathies and one of the usual reasons for visiting podiatry clinics. In this research, we aim to evaluate the effectiveness of a procedure of nail reeducation technique via a strip of polyethylene in subjects with stage I or IIa onychocryptosis, in which pathological toenail curves are present. Methods: This research was a randomized clinical trial (ACTRN12615000834550). The sample was made up of 94 cases of stage I or IIa onychocryptosis, according to the Mozena classification. Briefly, 46 cases were treated with the combination of a spicule technique and nail brace with a polyethylene plastic strip, and 48 were only treated with the spicule technique. Results: The combination of the spicule technique and the nail brace technique with a strip of polyethylene had a significantly lower recurrence rate compared to that achieved with just the spicule technique, twelve months after the beginning of the study (N.S. = 0.000 for α = 0.05). The change in the nail width achieved with the nail brace technique, twelve months after the beginning of the study, was statistically significant (N.S. = 0.000 for α = 0.05). Conclusions: The recurrence rate of the spicule technique alone was significantly higher than the combined technique of spicule with nail brace. A nail brace with a strip of polyethylene reduces the recurrence rate of onychocryptosis.

Evaluation of the Efficacy of the VHO-Osthold® Perfect Orthonyxic Buckle While Treating Ingrown Nails and Its Effect on the Clinical Picture of the Nail Apparatus

“…In a randomized clinical trial, Márquez-Reina et al used a polyethylene nail stabilizer to treat ingrown toenails, achieving a lower recurrence rate compared to wedge resection after 12 months from study commencement (N.S. = 0.000 for α = 0.05) [16].…”

Treatment of Ingrown Toenail with a Minimally Invasive Nail Fixator: Comparative Study with Winograd Technique

“…The literature reports that surgical and conservative methods applied with various techniques are effective. [8][9][10][11][12][13][14][15][16][17][18] Conservative treatments, such as applying cotton plugs under the nail plate and using nylon threads to elevate the nail plate, are reportedly effective. [12,13] Other reportedly effective conservative treatment methods include phenoltrichloroacetic acid, local triamcinolone acetonide, and cryotherapy treatments applied locally to the affected area, and the literature describes many surgical techniques for ingrown toenails that are similar to one another.…”

“…The early recovery associated with this option has been reported to result in high patient satisfaction. [11,15] This study is the first to compare the outcomes of patients treated with nail fixation therapy and the Winograd technique. Regarding the literature, report study has yet been reported on nail fixation for ingrown toenails.…”

Ingrown toenails treatment in diabetic patients: a Pilot Study of a new conservative treatment of orthonyxia.

“…That treatment is often not recommended in diabetic patients because of polymorbidity associated to disease [10]. Alternative therapeutic strategy are a conservative treatment consisting in various and different ortonixia techniques (reeducation of the nail plate) [11][12][13][14] or recostruction of nail plate after cutting [15].…”