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Platelet Gel for the Surgical Treatment of Onychocryptosis

Antonio Córdoba-Fernandez Department of Podiatry, Seville University, Seville, Spain.

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Rafael Rayo-Rosado Department of Podiatry, Seville University, Seville, Spain.

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José María Juarez-Jiménez Department of Podiatry, Seville University, Seville, Spain.

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Background: The growth factors derived from platelets contained in platelet-rich plasma comprise a series of molecules that favor the production of collagen with the proliferation of fibroblasts and new blood vessels. These substances exert their effect on the cells, acting in all the stages of cicatrization, especially in hemostasis and early fibroplasia.

Methods: Thirty-five patients (70 feet) were selected, operated on both sides for ingrown hallux nails, and subjected to two different experimental conditions in a crossover clinical trial with positive control of treatment. Two main variables were analyzed: on one side, the bleeding, according to three preestablished categories, and on the other, the mean time of cicatrization in days.

Results: Significant differences (P < .001) were found between the two groups for bleeding. We observed that cicatrization time did not differ significantly between the two treatments.

Conclusion: The use of platelet gel for the treatment of onychocryptosis by single nonincisional matricectomy can guarantee good hemostasis, with a significant reduction in bleeding, but does not produce a clinically significant reduction in cicatrization time. (J Am Podiatr Med Assoc 98(4): 296–301, 2008)

Corresponding author: Antonio Córdoba-Fernandez, Lic Pod, PhD, Avicena s/n, Seville 41009, Spain. (E-mail: acordoba @us.es)