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-
1
Cologlu, H, U Kocer, N Sungur, et al. :A new anatomical repair method for the treatment of ingrown nail: prospective comparison of wedge resection of the matrix and partial matricectomy followed by lateral fold advancement flap. .Ann Plast Surg 54::306. ,2005. .
-
2
Chang, T . : “Master Techniques in Podiatric Surgery. ,”The Foot and Ankle. , p8. ,Lippincott Williams & Wilkins. ,Philadelphia. ,2005. .
-
3
Bos, AMC, MWA Van Tilburg, AA van Sorge, et al. :Randomized clinical trial of surgical technique and local antibiotics for ingrowing toenail. .Br J Surg 94::292. ,2007. .
-
4
Rounding, C and S Hulm. :Cochrane review: surgical treatments for ingrowing toenails. .The Foot 11::166. ,2001. .
-
5
Banks, AS, MS Downey, DE Martin, et al. : “Edema, Hematoma, Infections. ,” inMcGlamry’s Comprehensive Textbook of Foot and Ankle Surgery, ,3rd Ed. , Vol2:, p1997. ,Lippincott Williams & Wilkins. ,Philadelphia. ,2001. .
-
6
Thommasen, H, S Johnston, and A Thommasen. :The occasional removal of an ingrowing toenail. .Can J Rural Med 10::173. ,2005. .
-
7
Marcinko, DE . : “Sterilization, Disinfection, Ecology and Preparation of Pedal Skin. ,” inInfections of the Foot: Diagnosis and Management. , p5. ,Mosby USA. ,St. Louis. ,1998. .
-
8
Ostrander, RV, ME Brage, and MJ Botte. :Bacterial skin contamination after surgical preparation in foot and ankle surgery. .Clin Orthop Related Res 406::246. ,2003. .
-
9
Fletcher, N, D Sofianos, MB Berkes, et al. :Current concepts review: prevention of perioperative infection. .J Bone Joint Surg Am 89::1605. ,2007. .
-
10
Zgonis, T, G Jolly, and J Garbalosa. :The efficacy of prophylactic intravenous antibiotics in elective foot and ankle surgery. .J Foot Ankle Surg 43::97. ,2004. .
-
11
Noel, B . :Surgical treatment of ingrown toenail without matrixectomy. .Am Soc Dermatol Surg 34::79. ,2008. .
-
12
Sadhu, S and K Bhat. :Ingrowing toe nail: results of surgical matricectomy. .JK Science 6::131. ,2004. .
-
13
Abby, NS, P Roni, B Amnon, et al. :Modified sleeve treatment for ingrown toenail. .Dermatol Surg 28::852. ,2002. .
-
14
Çetinus, E, M Uzel, E Bilgiç, et al. :Results of the Mogensen’s lateral wedge resection technique in the treatment of ingrown toenail. .Joint Dis Relat Surg 3::116. ,2007. .
-
15
Yang, G, N Yanchar, L Andrea, et al. :Treatment of ingrown toenails in the pediatric population. .J Pediatr Surg 43::931. ,2008. .
-
16
Becerro de Bengoa Vallejo, R, ME Losa Iglesias, Cervera L Alou, et al. :Preoperative skin and nail preparation of the foot: comparison of the efficacy of different methods in reducing bacterial load. .J Am Acad Dermatol 61::986. ,2009. .
-
17
Bibbo, C, D Patel, R Gehrman, et al. :Chlorhexidine provides superior skin decontamination in foot and ankle surgery. .Clin Orthop Relat Res 438::204. ,2005. .
-
18
Keblish, D, D Zurakowski, M Wilson, et al. :Preoperative skin preparation of the foot and ankle: bristles and alcohol are better. .J Bone Joint Surg Am 87::986. ,2005. .
-
19
Cheng, K, H Robertson, JP St Mart, et al. :Quantitative analysis of bacteria in forefoot surgery: a comparison of skin preparation techniques. .Foot Ankle Int 30::992. ,2009. .
-
20
Munckhof, W . :Antibiotics for surgical prophylaxis. .Aust Prescriber 28::38. ,2005. .
-
21
Spicer, W, K Christiansen, BJ Currie, et al. : “Prophylaxis Surgical. ,” inTherapeutic Guidelines: Antibiotic Version 13. , p32. ,Therapeutic Guidelines Limited. ,Melbourne, Australia. ,2006. .
-
22
Hardman, J, L Limbird, and AG Gilman. : “Antimicrobial Agents. ,” inGoodman and Gilman’s: The Pharmacological Basis of Therapautics. , p1189. ,McGraw-Hill. ,London. ,2001. .
Postoperative Infection After Excisional Toenail Matrixectomy
A Retrospective Clinical Audit
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Background:
Excisional toenail matrixectomies are performed on the area of the foot that has been reported to have the highest concentration of resident microorganisms. A retrospective infection audit was performed to identify whether this unique area of the foot was more susceptible to postoperative infection.
Methods:
A retrospective audit reviewing the postoperative infection rate over a 6-year period after excisional nail matrixectomy in 111 patients was undertaken.
Results:
The postoperative infection rate was found to be high (18.9%) relative to that of clean orthopedic foot and ankle surgery (0.5%–6.5%).
Conclusions:
The unique concentration of resident microbes found in the nail folds could help explain the high rate of postoperative infections identified in this study. This may provide some argument to classify excisional nail matrixectomy as clean-contaminated surgery and, thus, warrant routine antibiotic prophylaxis. Further research is recommended to confirm the results of this study and to determine whether appropriately timed oral antibiotic prophylaxis will reduce the infection rate after nail surgery. (J Am Podiatr Med Assoc 101(4): 316–322, 2011)
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