Abstract：
BACKGROUND: Ingrown toenails are a common pathology. Although a range of conservative and surgical measures are widely used for this condition, little is known about their use in practice. This study explored current practice relating to the treatment or management of ingrown toenails by podiatrists in the UK.
METHODS: A cross-sectional online survey (Qualtrics, Provo, UT, USA) conducted between March to June 2020 was distributed to practicing podiatrists treating or managing ingrown toenails in the UK.
RESULTS: A total of 396 practicing podiatrists responded (60.1% based in the private sector). The majority (88.6%) performed nail surgery most commonly (54.3%) less than five a month. Nearly all (95%) only performed nail avulsion with or without chemical matrixectomy, universally using phenol (97.2%). Application time and number of applications varied but was most commonly applied three times (61.5%) for a total of 3 minutes (75%). Aftercare varied considerably between public and private sectors, with public sectors offering fewer follow-up appointments.
CONCLUSIONS: Although there is a variation in clinical practice throughout the treatment pathway, almost all respondents offered nail avulsion with phenol matrixectomy, whereas very few provided incisional nail surgery. This data provides the most comprehensive description of how UK podiatrists conduct nail surgery for onychocryptosis.
METHODS: A cross-sectional online survey (Qualtrics, Provo, UT, USA) conducted between March to June 2020 was distributed to practicing podiatrists treating or managing ingrown toenails in the UK.
RESULTS: A total of 396 practicing podiatrists responded (60.1% based in the private sector). The majority (88.6%) performed nail surgery most commonly (54.3%) less than five a month. Nearly all (95%) only performed nail avulsion with or without chemical matrixectomy, universally using phenol (97.2%). Application time and number of applications varied but was most commonly applied three times (61.5%) for a total of 3 minutes (75%). Aftercare varied considerably between public and private sectors, with public sectors offering fewer follow-up appointments.
CONCLUSIONS: Although there is a variation in clinical practice throughout the treatment pathway, almost all respondents offered nail avulsion with phenol matrixectomy, whereas very few provided incisional nail surgery. This data provides the most comprehensive description of how UK podiatrists conduct nail surgery for onychocryptosis.
摘要：
背景：内胎趾甲是一种常见的病理。尽管一系列保守和手术措施被广泛用于这种情况，人们对它们在实践中的使用知之甚少。这项研究探索了英国足病医生对向内生长的脚趾甲的治疗或管理的现行做法。
方法：横断面在线调查(Qualtrics，普罗沃,UT,USA）于2020年3月至6月之间进行，分发给在英国治疗或管理向内生长的脚趾甲的执业足病医生。
结果：共有396名执业足病医生做出了回应（私营部门占60.1%）。大多数（88.6％）最常见的是（54.3％）每月少于5次进行指甲手术。几乎所有（95％）仅进行了有或没有化学基质切除术的指甲撕脱，普遍使用苯酚（97.2%）。施用时间和施用次数不同,但最通常施用三次(61.5%),共3分钟(75%)。公共部门和私营部门的善后护理差异很大，公共部门提供的后续任命较少。
结论：尽管整个治疗途径的临床实践存在差异，几乎所有受访者都提供了苯酚基质切除术的指甲撕脱伤，而很少有人提供切开的指甲手术。此数据提供了英国足病医生如何进行甲癣的指甲手术的最全面描述。
方法：横断面在线调查(Qualtrics，普罗沃,UT,USA）于2020年3月至6月之间进行，分发给在英国治疗或管理向内生长的脚趾甲的执业足病医生。
结果：共有396名执业足病医生做出了回应（私营部门占60.1%）。大多数（88.6％）最常见的是（54.3％）每月少于5次进行指甲手术。几乎所有（95％）仅进行了有或没有化学基质切除术的指甲撕脱，普遍使用苯酚（97.2%）。施用时间和施用次数不同,但最通常施用三次(61.5%),共3分钟(75%)。公共部门和私营部门的善后护理差异很大，公共部门提供的后续任命较少。
结论：尽管整个治疗途径的临床实践存在差异，几乎所有受访者都提供了苯酚基质切除术的指甲撕脱伤，而很少有人提供切开的指甲手术。此数据提供了英国足病医生如何进行甲癣的指甲手术的最全面描述。
