A Minimally-Invasive, Simple, Rapid, and Effective Surgical Technique for the Treatment of Ingrown Toenails: A Reminder of the Original Winograd Procedure

Jahyung Kim, Sanghyeon Lee, Jeong Seok Lee, Sung Hun Won, Dong Il Chun, Young Yi and Jaeho Cho
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Jahyung Kim: Department of Orthopedic Surgery, Seoul Hospital, Soonchunhyang University Seoul Hospital, Seoul 04401, Korea
Sanghyeon Lee: Department of Orthopaedic Surgery, Ewha Womans University Seoul Hospital, Seoul 07804, Korea
Jeong Seok Lee: Department of Orthopedic Surgery, Seoul Hospital, Soonchunhyang University Seoul Hospital, Seoul 04401, Korea
Sung Hun Won: Department of Orthopedic Surgery, Seoul Hospital, Soonchunhyang University Seoul Hospital, Seoul 04401, Korea
Dong Il Chun: Department of Orthopedic Surgery, Seoul Hospital, Soonchunhyang University Seoul Hospital, Seoul 04401, Korea
Young Yi: Department of Orthopedic Surgery, Seoul Paik Hospital, Inje University College of Medicine, Seoul 04551, Korea
Jaeho Cho: Department of Orthopaedic Surgery, Chuncheon Sacred Heart Hospital, Hallym University, Gangwon-do 24253, Korea

IJERPH, 2021, vol. 18, issue 1, 1-7

Abstract: (1) Background: Ingrown toenail is a common disorder of the toe that induces severe toe pain and limits daily activities. The Winograd method, the most widely used operative modality for ingrown toenails, has been modified over years to include wedge resection of the nail fold and complete ablation of the germinal matrix. We evaluated the outcomes of original Winograd procedure without wedge resection with electrocautery-aided matrixectomy. (2) Methods: We retrospectively analyzed the outcomes of patients who underwent surgery for ingrown toenails at a university hospital for two years from November 2015 to October 2017. Surgery was performed in 76 feet with a mean operation time of 9.34 min. (3) Results: The minimal interval from surgery to return to regular activities was 13.26 (range 7 to 22) days. Recurrence and postoperative wound infections were found in 3 (3.95%) and 2 (2.63%) patients, respectively. Evaluation of patient satisfaction at one-year follow-up showed that 40 (52.63%) patients were very satisfied, 33 (43.42%) were satisfied, 3 (3.95%) were dissatisfied, and none of them were very dissatisfied. The average follow-up duration was 14.66 (range 12 to 25) months. (4) Conclusions: Therefore, it is believed that this less-invasive and simple procedure could be easily performed by clinicians, with satisfactory patient outcomes.

Keywords: ingrown toenail; matrixectomy; minimal-invasive (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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