Journals / Akdeniz Tıp Dergisi / 2018 / Cilt: 4 - Sayı: 1

The Clinical Results of the Modifi ed Winograd Technique in the Treatment of Ingrown Nails

Tırnak Batmas nak Batması(Ingrown Nail) Tedavisinde Modi (Ingrown Nail) Tedavisinde Modifiye Winograd Tekni inograd Tekniği Sonuçlar Sonuçlarımız

Pages
1–7
Publication Date
2022-10-11
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The recurrence rate and dissatisfaction from the surgery were reported directly

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: In-grown nail is the most common problem that causes pain and discomfort in the foot.If the conservative treatment fails, the surgery is the option of the treatment.
📊
Key Findings & Data:Modifi ed Winograd technique is the popular and the preffered surgical treatment method nowadays.21 documented patients with 24 nails were operated with the modifi ed Winograd technique.
💡
Conclusion & Impact:The recurrence rate and dissatisfaction from the surgery were reported directly
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: In-grown nail is the most common problem that causes pain and discomfort in the foot.If the conservative treatment fails, the surgery is the option of the treatment. Modifi ed Winograd technique is the popular and the preffered surgical treatment method nowadays.21 documented patients with 24 nails were operated with the modifi ed Winograd technique. We aimed to evaluate the clinical results, satisfaction rate, and recurrence rate of the patients in this study. Material and Methods: The patients who were resistant to conservative treatment were included in this study. The modifi ed Winograd technique was utilized in a total of 21 patients (female 12/male 9).The mean follow-up period was 20 months (Min/Max: 6/63 months).Pre /Post operative changes in VAS scores were evaluated with the Wilcoxon signed Rank test. The existence of a difference in Pre /Post operative VAS scores linked with gender were evaluated by the Mann-Whitney U test. The correlation between the Pre /Post operative VAS scores and age was evaluated with the Pearson correlation test. The recurrence rate and dissatisfaction from the surgery were reported directly

Özet

Amaç: Tırnak batması (ingrown nail), günümüz toplumunda ayağın en fazla ağrı ve rahatsızlıkla sonuçlanan, iş gücü kaybına yol açan durumudur.Tırnak batması konservatif tedavi yöntemleri ile tedavi edilemezse cerrahi tedavi seçeneği önemli bir alternatiftir. Modifi ye winograd tekniği son yıllarda populer olmuş önemli bir cerrahi tedavi yöntemidir.Makalede dokümente edilen 21 olgunun 24 tırnağına uygulanan modifi ye Winograd tekniğinin klinik sonuçlarını, nüks şeklini, oranını ve hasta memnuniyetini değerlendirmeyi amaçladık.Gereç ve Yöntemler: Tırnak batması şikayeti ile başvurup konservatif tedaviye yanıt vermeyen, 21 hastanın (12 kadın /9 erkek) 24 tırnağına winograd tekniği ile kısmi tırnak çekimi ve yatak revizyonu uygulandı. Hastalar ortalama 20 (Min/Maks: 6 / 63 ay) ay takip edildi.Pre/Post operatif VAS skorları Wilcoxon Signed Ranks Test ile değerlendirildi. Pre/Post operatif VAS skorlarının cinsiyete göre farklılık gösterip göstermediği Mann Witney U testi ile değerlendirildi. Pre/Post operatif VAS skorlarının yaş ile bağıntısı Pearson Korelasyon testi ile değerlendirildi. Nüks ve memnuniyetsizlik oranları ortalama değer olarak sunuldu.Bulgular: Preoperatif ortalama VAS skorlaması 7,48 (SD: 1,159), Postoperatif ortalama VAS skorlaması 1,48 (SD: 1,05), ortalama yaş 35,44 (SD:11,67). Pre/Postoperatif VAS skorları arasındaki düşüşün istatistiki olarak anlamlı olduğu saptandı (Wilcoxon Signed Ranks Test, p

🔖

Cite This Article

SAĞTAŞ, E., SONUÇLARIMIZ, W. T., SAYLIK, M., AYDIN, A. T., GÖKKUŞ, K. (2022). The Clinical Results of the Modifi ed Winograd Technique in the Treatment of Ingrown Nails. Akdeniz Tıp Dergisi, Cilt: 4 - Sayı: 1, 1–7. https://ajindex.com/articles/434450

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (21)

  1. Eisele SA.Conditions of the toenails. Orthop Clin North Am 1994;25(1):183-8
  2. Sugden P, Levy M, Rao GS. Onychocryptosis-phenol burn fi asco. Burns 2001;27(3):289-92
  3. Ikard RW. Onychocryptosis. J Am Coll Surg 1998;187(1):96-102.(3
  4. Fulton GJ, O'Donohoe MK, Reynolds JV, Keane FB, Tanner WA. Wedge resection alone or combined with segmental phenolization for the treatment of ingrowing toenail. Br J Surg 1994;81(7):1074-5
  5. Van der Ham AC1, Hackeng CA, Yo TI.The treatment of ingrowing toenails. A randomised comparison of wedge excision and phenol cauterisation. J Bone Joint Surg Br 1990;72(3):507-9
  6. Pearson HJ, Bury RN, Wapples J, Watkin DF. Ingrowing toenails: is there a nail abnormality? A prospective study. J Bone Joint Surg Br 1987;69(5):840-2
  7. Ohtsuka H. How far does an ingrown toenail enlarge? Ann Plast Surg 2000;44:649-50
  8. Murray WR. Onychocryptosis: principles of nonoperative and operative care. Clin Orthop Relat Res 1979;(142):96-102
  9. Kuru I, Sualp T, Ferit D, Gunduz T.Factors affecting recurrence rate of ingrown toenail treated with marginal toenail ablation. Foot Ankle Int 2004;25(6):410-3
  10. Antrum RM. Radical excision of the nailfold for ingrowing toenail. J Bone Joint Surg Br 1984;66(1):63-5
  11. Zadik FR. Obliteration ofthe nail bed ofthe great toe without shortening the terminal phalanx. J Bone Joint Surg [Br]. l950;32-B:66-7 12. Ilfeld FW. Ingrown toenail treated with cotton collodion insert. Foot Ankle 1991; 11(5):312-3
  12. Antrum RM. Radical excision of the nailfold for ingrowing toenail. J Bone Joint Surg Br 1984;66(1):63-5
  13. Watkin DF. Management of ingrowing toenail. Br J Surg 1989;76(12):1353
  14. Winograd AM. A modifi cation in the technique of operation for ingrown toe-nail Jama 1929;92:229-30
  15. Heifetz CF. Ingrown toenail-a clinical study. Am J Surg 1937; 38:298-315
  16. Dereli T, Özyurt S, Öztürk A, Erboz S. Tırnak batması: Parsiyel matrisektomi/fenolizasyon kombinasyonu ile tedavisi. Turkderm 1995;29:151-4
  17. Murray WR. Management of ingrowing toenail. Br J Surg 1989;76(9):883-5
  18. Reijnen JAM, Goris RJA. Conservative treatment of ingrowing toenails. Br J Surg 1989;76(9):955-7
  19. Grieg JD, Anderson JH, Ireland AJ, Anderson JR.The surgical treatment of ingrowing toenails. J Bone Joint Surg Br 1991;73(1):131-3
  20. Kayalar M, Bal E, Toros T, Ozaksar K, Gürbüz Y, Ademoğlu Y.Results of partial matrixectomy for chronic ingrown toenail. Foot Ankle Int 2011;32(9):888-95
  21. Uruç V, Canseven N, Selçuk