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Abstract：
OBJECTIVE: This study aimed to compare the effects of the Winograd and modified Winograd methods for nail bed suturing on clinical outcomes in patients with nail ingrown.
METHODS: In total, 45 patients who underwent surgery for ingrown toenails between December 2019 and December 2020 were randomised retrospectively. In this study, different methods applied by the authors were studied, and the methods applied by each author were divided into two separate groups. All patients had partial germinal matrix and nail bed excisions. Thirty (53.6%) of the nails were dressed in gauze, leaving the excised area of the nail unsutured (group 1). Then, the remaining 26 nails (group 2) were sutured with the mattress suturing technique to ensure that the skin was under the nail. Clinical outcomes, visual analogue scale (VAS) scores, and verbal satisfaction status were statistically evaluated.
RESULTS: In our study, 56 nails of 45 patients were evaluated retrospectively. The patients were followed up for an average of 13 (10-19) months. The mean age was 27.13 (15--48) years. In total, 31 (68.9%) of the patients were men, and 14 (31.1%) were women. The incidence of postoperative bleeding and granulation tissue development decreased in the sutured group. In group 1, the development of hypertrophic granulation tissue after surgery had a significantly negative impact on VAS score and recovery time. In the sutured group, patients returned to work or performed activities of daily living for a shorter period. Approximately 95% of patients were satisfied or extremely satisfied.
CONCLUSIONS: Partial matrix excision using the appropriate suturing technique is associated with a fast recovery, low recurrence rate, high patient satisfaction, and earlier return to work activities of daily life among patients treated for ingrown toenails.
METHODS: In total, 45 patients who underwent surgery for ingrown toenails between December 2019 and December 2020 were randomised retrospectively. In this study, different methods applied by the authors were studied, and the methods applied by each author were divided into two separate groups. All patients had partial germinal matrix and nail bed excisions. Thirty (53.6%) of the nails were dressed in gauze, leaving the excised area of the nail unsutured (group 1). Then, the remaining 26 nails (group 2) were sutured with the mattress suturing technique to ensure that the skin was under the nail. Clinical outcomes, visual analogue scale (VAS) scores, and verbal satisfaction status were statistically evaluated.
RESULTS: In our study, 56 nails of 45 patients were evaluated retrospectively. The patients were followed up for an average of 13 (10-19) months. The mean age was 27.13 (15--48) years. In total, 31 (68.9%) of the patients were men, and 14 (31.1%) were women. The incidence of postoperative bleeding and granulation tissue development decreased in the sutured group. In group 1, the development of hypertrophic granulation tissue after surgery had a significantly negative impact on VAS score and recovery time. In the sutured group, patients returned to work or performed activities of daily living for a shorter period. Approximately 95% of patients were satisfied or extremely satisfied.
CONCLUSIONS: Partial matrix excision using the appropriate suturing technique is associated with a fast recovery, low recurrence rate, high patient satisfaction, and earlier return to work activities of daily life among patients treated for ingrown toenails.
摘要：
目的：本研究旨在比较Winograd和改良Winograd方法对指甲向内生长患者的临床结局的影响。
方法：总共，在2019年12月至2020年12月期间接受了向内生长的脚趾甲手术的45例患者被随机分组。在这项研究中,研究了作者应用的不同方法，每个作者采用的方法分为两个单独的组。所有患者均进行了部分生发基质和甲床切除术。三十(53.6%)的指甲是用纱布穿的,留下指甲的切除区域未缝合（第1组）。然后，其余26个指甲（第2组）用床垫缝合技术缝合，以确保皮肤在指甲下。临床结果,视觉模拟量表（VAS）评分，并对言语满意度状况进行统计评价。
结果：在我们的研究中，对45例患者的56枚指甲进行了回顾性评估。术后随访10～19个月,平均13个月。平均年龄为27.13（15-48）岁。总的来说,31（68.9％）的患者是男性，14名(31.1%)为女性。缝合组术后出血和肉芽组织发育的发生率降低。在第1组中，手术后肥大肉芽组织的发展对VAS评分和恢复时间有明显的负面影响。在缝合组中，患者恢复工作或进行较短时间的日常生活活动。大约95%的患者感到满意或非常满意。
结论：使用适当的缝合技术进行部分基质切除与快速恢复相关，复发率低，患者满意度高,并在接受脚趾甲治疗的患者中更早恢复日常生活的工作活动。
方法：总共，在2019年12月至2020年12月期间接受了向内生长的脚趾甲手术的45例患者被随机分组。在这项研究中,研究了作者应用的不同方法，每个作者采用的方法分为两个单独的组。所有患者均进行了部分生发基质和甲床切除术。三十(53.6%)的指甲是用纱布穿的,留下指甲的切除区域未缝合（第1组）。然后，其余26个指甲（第2组）用床垫缝合技术缝合，以确保皮肤在指甲下。临床结果,视觉模拟量表（VAS）评分，并对言语满意度状况进行统计评价。
结果：在我们的研究中，对45例患者的56枚指甲进行了回顾性评估。术后随访10～19个月,平均13个月。平均年龄为27.13（15-48）岁。总的来说,31（68.9％）的患者是男性，14名(31.1%)为女性。缝合组术后出血和肉芽组织发育的发生率降低。在第1组中，手术后肥大肉芽组织的发展对VAS评分和恢复时间有明显的负面影响。在缝合组中，患者恢复工作或进行较短时间的日常生活活动。大约95%的患者感到满意或非常满意。
结论：使用适当的缝合技术进行部分基质切除与快速恢复相关，复发率低，患者满意度高,并在接受脚趾甲治疗的患者中更早恢复日常生活的工作活动。
