PDF(Sci-hub)
Abstract：
UNASSIGNED: In-growing toenails commonly affect young men hampering the quality of life. There are many methods to treat in-growing toe nail but most of them have high recurrence rates and poor patient satisfaction. We describe our results of segmental matrix excision for correction of ingrowing toe nails.
UNASSIGNED: It is a retrospective study over a period of 2 years. Patients with symptomatic in-growing toe nails with stage II and III were operated by technique of segmental matrix excision. All patients were available for follow-up at ∼1 year.
UNASSIGNED: 90 patients, 59 males and 31females with ingrowing nail of great toe (108 toes and 120 surgical sites) that underwent correction of by segmental matrix excision. Patient\'s age ranged from 19 to 59 years. There was involvement of right great toe in 42 patients, left great toe in 30 patients and bilateral toes in 18 patients. 12 great toes were affected on both sides (74 lateral sides and 46 medial sides of toes). 15/90 (16.6%) patients had history of previous failed surgery by nail plate avulsion. Complications include bleeding (n = 1), infection (n = 2). On average follow up of ∼1 year, there was only 1 recurrence. There was no loss of cutaneous innervation or osteomyelitis. All patients went back to their normal activity on 10th day.
UNASSIGNED: Segmental matrix excision should be considered as the treatment of choice for ingrowing toe nail because of high cure rate, less pain, low risk of postoperative infection, and results in good cosmetic result.
UNASSIGNED: It is a retrospective study over a period of 2 years. Patients with symptomatic in-growing toe nails with stage II and III were operated by technique of segmental matrix excision. All patients were available for follow-up at ∼1 year.
UNASSIGNED: 90 patients, 59 males and 31females with ingrowing nail of great toe (108 toes and 120 surgical sites) that underwent correction of by segmental matrix excision. Patient\'s age ranged from 19 to 59 years. There was involvement of right great toe in 42 patients, left great toe in 30 patients and bilateral toes in 18 patients. 12 great toes were affected on both sides (74 lateral sides and 46 medial sides of toes). 15/90 (16.6%) patients had history of previous failed surgery by nail plate avulsion. Complications include bleeding (n = 1), infection (n = 2). On average follow up of ∼1 year, there was only 1 recurrence. There was no loss of cutaneous innervation or osteomyelitis. All patients went back to their normal activity on 10th day.
UNASSIGNED: Segmental matrix excision should be considered as the treatment of choice for ingrowing toe nail because of high cure rate, less pain, low risk of postoperative infection, and results in good cosmetic result.
摘要：
■不断增长的脚趾甲通常会影响年轻人的生活质量。有许多方法可以治疗正在生长的脚趾指甲，但大多数方法复发率高，患者满意度差。我们描述了用于矫正足趾指甲的分段矩阵切除的结果。
■这是一项为期2年的回顾性研究。通过节段性基质切除术技术对II期和III期有症状的脚趾指甲生长的患者进行手术。所有患者均可在~1年进行随访。
■90名患者，59名男性和31名女性的大脚趾指甲（108个脚趾和120个手术部位），通过节段性基质切除术进行了矫正。患者年龄为19-59岁。42例患者右大脚趾受累，左大脚趾30例，双侧脚趾18例。两侧有12个大脚趾（脚趾的外侧有74个，内侧有46个）。15/90（16.6％）患者有以前的钉板撕脱失败手术史。并发症包括出血（n=1），感染（n=2）。平均随访1年，只有1次复发。没有皮肤神经支配或骨髓炎的丧失。所有患者在第10天恢复正常活动。
■由于治愈率高，因此应考虑将节段基质切除术作为脚趾内指甲的首选治疗方法，更少的痛苦，术后感染风险低，并导致良好的美容效果。
■这是一项为期2年的回顾性研究。通过节段性基质切除术技术对II期和III期有症状的脚趾指甲生长的患者进行手术。所有患者均可在~1年进行随访。
■90名患者，59名男性和31名女性的大脚趾指甲（108个脚趾和120个手术部位），通过节段性基质切除术进行了矫正。患者年龄为19-59岁。42例患者右大脚趾受累，左大脚趾30例，双侧脚趾18例。两侧有12个大脚趾（脚趾的外侧有74个，内侧有46个）。15/90（16.6％）患者有以前的钉板撕脱失败手术史。并发症包括出血（n=1），感染（n=2）。平均随访1年，只有1次复发。没有皮肤神经支配或骨髓炎的丧失。所有患者在第10天恢复正常活动。
■由于治愈率高，因此应考虑将节段基质切除术作为脚趾内指甲的首选治疗方法，更少的痛苦，术后感染风险低，并导致良好的美容效果。
