Results of Partial Matrixectomy for Chronic Ingrown Toenail

Kayalar, Murat; Bal, Emin; Toros, Tulgar; Ozaksar, Kemal; Gürbüz, Yusuf; Ademoglu, Yalcin

doi:10.3113/fai.2011.0888

Cited by 25 publications

(17 citation statements)

References 64 publications

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“…All these have variable rates of recurrence (2,5,7,15). Surgical approaches have been reported as the best option for treating stage II and III ingrown toenails, because conservative approaches, which have positive results for stage I, result in greater rates of failure and recurrence (1,3,7,11,15,16). It is important to note that a consensus on the best surgical technique for the treatment of ingrown toenails has still not been reached (1,8,17).…”

Section: Discussionmentioning

confidence: 94%

Nail Braces as an Alternative Treatment for Ingrown Toenails: Results From a Comparison With the Winograd Technique

Güler

Tuna²,

Mahiroğulları

et al. 2015

The Journal of Foot and Ankle Surgery

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Section: Discussionmentioning

confidence: 94%

Nail Braces as an Alternative Treatment for Ingrown Toenails: Results From a Comparison With the Winograd Technique

Güler

Tuna²,

Mahiroğulları

et al. 2015

The Journal of Foot and Ankle Surgery

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“…In most of the cases, the nail plate is the main problem; so partial excision of the nail plate with the addition of matrixectomy, to avoid recurrence, is the most performed and popular operative method for the treatment of ingrown toe nail. 7 The Winograd technique is a very popular technique for the treatment of ingrown toenail among podiatrists because of successful results. 4 In this study, the recurrence rate was 7.9% after the original Winograd technique.…”

Section: Discussionmentioning

confidence: 99%

Operative Treatment of the Ingrown Toenail With a Less-Invasive Technique: Flashback to the Original Winograd Technique

Çamurcu

Sofu

Issın

et al. 2017

Foot & Ankle Specialist

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“…The recurrence rate was 92% in the partial matrix excision group. In other studies, the recurrence rate of Winograd's procedure was 1.7-27% (4,5,11,(23)(24)(25).…”

Section: Discussionmentioning

confidence: 99%

An Evaluation of Partial Matrix Excision with Winograd Method for the Surgical Treatment of Ingrown Toenails

Güler¹,

Mahiroğulları²,

Mutlu³

et al. 2014

JAREM

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Objective: The most frequent nail pathology of the hallux is the ingrown toenail. In our study, we evaluated Winograd's partial matrix excision method as a treatment for unilateral ingrown hallux toenail.Methods: Winograd's partial toenail excision was performed on 239 patients (127 males, 112 females; mean age 37.4 years) with an ingrown toenail. Primary patient complaints included a painful hallux toenail, discharge, nail deformation, and difficulty walking. According to the Heifetz staging system, there were 62 patients evaluated as Stage l, 96 as Stage ll, and 81 as Stage lll. A total of 174 (74%) patients had discharge from infection. In infected cases, an antibiotic was administered until inflammatory signs and discharged ceased, at which time surgical treatment was performed. Patients' duration to return to daily living and work, recurrence ratio, satisfaction, and cosmetic issues were evaluated. The mean follow-up time was 27 months (range: 14-45 months).Results: Patients returned to daily living in 10-15 days (mean 11.3) and to work in 8.7 days (range: 6-13 days). A total of 230 patients (96.3%) were satisfied with the procedure, and 231 patients (96.6%) were satisfied with the cosmetic results. Nine patients were dissatisfied with the surgical outcome, and eight patients who experienced recurrence were dissatisfied with the cosmetic results. None of the patients experienced deep tissue infections or neurovascular complications. Conclusion:Winograd's partial matrix excision method is a beneficial surgical procedure for ingrown toenail, resulting in low recurrence and high satisfaction rates. (JAREM 2014; 1: 7-11) Key Words: Big toe, hallux, nail disorders, ingrown toenail surgery ÖZET Amaç: Tırnak batması, toplumda sık görülen ve en sık tırnak hastalığıdır. Bu çalışmada, ayak baş parmağına tek taraflı tırnak batması nedeniyle Winograd yöntemiyle kısmi matriks eksizyonu yapılan hastalarda tedavi sonuçları değerlendirildi.Yöntemler: Tırnak batması nedeniyle 239 hastaya (127 erkek, 112 kadın; ort. yaş 37,4) Winograd prosedürüne uygun olarak kısmi matriks eksizyonu uygulandı. Hastaların temel şikayetleri ayak baş parmağına ağrı, akıntı, tırnakta şekil bozukluğu ve yürüme güçlüğü idi. Heifetz'in tırnak batması evrelendirmesine göre 62 hasta evre I, 96 hasta evre II, 81 hasta evre III olarak değerlendirildi. Yüz yetmiş sekiz (%74) hastada enfeksiyon zemininde aktif akıntı vardı. Enfekte olgularda enflamasyon bulguları ve akıntı ortadan kalkıncaya kadar antibiyoterapi uygulandı ve sonrasında cerrahi tedavi yapıldı. Hastaların günlük hayat ve işe dönüş zamanları, nüks gelişme oranı, hasta memnuniyeti ve kozmetik sorunlar açısından değerlendirildi. Ortalama takip süresi 27 ay (dağılım 14-45 ay) idi.Bulgular: Dokuz hastada (%3,7) nüks görüldü. Ortalama nüks gelişim süresi 5,6 aydı (dağılım 2-9 ay). Hastalar ortalama 6,7 günde (dağılım 3-11 gün) günlük aktivitelerine geri döndü. İşe dönüş süresi ortalama 10,2 gün (dağılım 7-16 gün) bulundu. İkiyüzotuz (%96,3) hasta yapılan müdahaleden memnundu. İki yüz ...

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Results of Partial Matrixectomy for Chronic Ingrown Toenail

Abstract: We recommend the Winograd technique with a few modifications especially for severe Stage 2 and 3 cases. Both loupe magnification and observation of soft tissue in the postoperative period were important details.

Cited by 25 publications

References 64 publications

Nail Braces as an Alternative Treatment for Ingrown Toenails: Results From a Comparison With the Winograd Technique

Nail Braces as an Alternative Treatment for Ingrown Toenails: Results From a Comparison With the Winograd Technique

Operative Treatment of the Ingrown Toenail With a Less-Invasive Technique: Flashback to the Original Winograd Technique

An Evaluation of Partial Matrix Excision with Winograd Method for the Surgical Treatment of Ingrown Toenails

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