背景:已经报道了许多外科技术用于治疗向内生长的脚趾甲。矩阵切除术后发生感染可能会导致临床医生更喜欢使用外部支架治疗向内生长的脚趾甲。这项研究比较了接受指甲固定技术和Winograd技术的脚趾甲向内生长的患者。
方法:回顾性分析了接受了向内嵌趾甲手术的患者。患者的人口统计学特征(年龄,性别,根据海菲兹分类的体重指数[BMI]形态学,外科技术,视觉模拟量表(VAS)值,回到日常活动的时间(天),并发症,和满意度都被记录下来。
结果:70例患者被纳入研究。在患者中,33例接受了指甲固定,37例接受了Winograd技术。在患者年龄方面没有发现显著的统计学差异,性别,BMI,术前临床特征,长期满意,两组之间向内生长的趾甲复发率,但与Winograd技术相比,使用钉内固定治疗的患者恢复日常活动的时间和VAS值在统计学上显著降低.
结论:指甲固定术可以作为一种有效的手术治疗方法。
BACKGROUND: Many surgical techniques have been reported for treatment of ingrown toenails. Occurrence of infection after matricectomy procedures could cause clinicians to prefer using external braces in the treatment of 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 reviewed retrospectively. The patients\' demographic characteristics (ie, age, gender, body mass index morphology according to Heifetz classification, surgical technique, visual analogue scale 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, body mass index, preoperative clinical features, long-term satisfaction, and ingrown toenail recurrence rates between the two groups, but time to return to daily activities and visual analogue scale values were statistically significantly lower in patients treated using nail fixation compared with the Winograd technique.
CONCLUSIONS: Nail fixation can be an effective surgical treatment option for ingrown toenail.