Cover Journal of the American Podiatric Medical Association
Journal of the American Podiatric Medical Association
ISSN:
8750-7315
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Article Type:
Original Articles
Online Publication Date:
Mar 2008

Efficacy of Wedge Resection With Phenolization in the Treatment of Ingrowing Toenails

Faisal M. Shaikh St. John’s Hospital, Limerick, Ireland.

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 MRCSI
,
Mansoor Jafri St. John’s Hospital, Limerick, Ireland.

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 FRCSI
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Subhasis K. Giri St. John’s Hospital, Limerick, Ireland.

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 FRCSE, FRCSI, MCh
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Ralph Keane St. John’s Hospital, Limerick, Ireland.

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 FRCSI, MCh
DOI:
https://doi.org/10.7547/0980118
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Background: Ingrowing toenail is a common condition treated by general surgeons. Our aim was to analyze the effectiveness of wedge resection with phenolization in the surgical treatment of ingrowing toenails.

Methods: We retrospectively audited 100 patients who underwent wedge resection with phenolization for the treatment of ingrowing toenail between January 2000 and June 2004 by a single surgeon. We reviewed all charts and attempted to contact all patients for a telephone interview to assess patient satisfaction. Outcome measures were: 1) recurrence rate, 2) duration of analgesic use, 3) postoperative complications including wound infection, 4) time to return to normal activities, and 5) satisfaction with the procedure.

Results: A total of 168 wedge resection with phenolization procedures were performed on 100 patients. There was only one recurrence (0.6%). Two patients (2%) had wound infection and were treated with oral antibiotics. The average time for a single wedge resection with phenolization procedure was 7.3 minutes. The mean time to return to normal activities was 2.1 weeks. The patient response rate for the telephone interview was 60%. Most respondents (93.3%) were satisfied with the overall outcome.

Conclusions: Wedge resection with phenolization is a very effective mode of therapy in the surgical treatment of ingrowing toenail, with a very low recurrence rate and minimal postoperative morbidity. Wedge resection with phenolization should be considered as a good alternative technique in the treatment of ingrowing toenail. (J Am Podiatr Med Assoc 98(2): 118–122, 2008)

Corresponding author: Faisal M. Shaikh, MRCSI, St. John’s Hospital, St. John’s Square, Limerick, Ireland. (E-mail: drsmfaisal@yahoo.com)
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