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

Tuğrul ErgünDepartment of Orthopedics and Traumatology, Istinye University Bahçeşehir Liv Hospital, Istanbul, Turkey.

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Mehmet KorkmazDepartment of Orthopedics and Traumatology, 0skenderun State Hospital, Hatay, Turkey.

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Dilan ErgünDepartment of Orthopedics and Traumatology, Mardin State Hospital, Mardin, Turkey.

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Kaya TuranDepartment of Orthopedics and Traumatology, Istinye University Bahçeşehir Liv Hospital, Istanbul, Turkey.

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Osman Görkem MuratoğluDepartment of Orthopedics and Traumatology, Istinye University Bahçeşehir Liv Hospital, Istanbul, Turkey.

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Haluk ÇabukDepartment of Orthopedics and Traumatology, Istinye University Bahçeşehir Liv Hospital, Istanbul, Turkey.

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Abstract

Background: Many surgical techniques have been reported for the treatment of ingrown toenails. Occurrences of infection after matricectomy procedures could cause clinicians to prefer using external braces to treat ingrown toenails. This study compares patients with ingrown toenails who underwent the nail fixation technique and the Winograd technique.

Methods: Patients who underwent ingrown toenail surgery were retrospectively reviewed. The patients’ demographic characteristics (age, gender, body mass index [BMI] morphology according to Heifetz classification, surgical technique, visual analog scale (VAS) values, time to return to daily activities (days), complications, and satisfaction levels were all recorded.

Results: Seventy patients were included in the study. Of the patients, 33 underwent nail fixation and 37 underwent the Winograd technique. No significant statistical differences were found in terms of patients’ age, gender, BMI, preoperative clinical features, long-term satisfaction, and ingrown toenail recurrence rates between the two groups, but time to return to daily activities and VAS values were statistically significantly lower in patients treated using nail fixation compared with the Winograd technique.

Conclusion: Nail fixation can be an effective surgical treatment option for an ingrown toenail.

Corresponding Author: Dr. Tuğrul Ergün, MD, Istinye University Bahçeşehir Liv Hospital Orthopedics and Traumatology Clinic, Istanbul, Turkey 34000. (E-mail: drergun14@gmail.com)