The Modified versus the Conventional Winograd Technique for the Treatment of Onychocryptosis: A Retrospective Study

Flávio Oliveira, Joaquín O. Izquierdo-Cases, Alfonso Martínez-Nova, Elena Contreras-Barragán and Pedro V. Munuera-Martínez
Additional contact information
Flávio Oliveira: Escola Superior de Saúde da Cruz Vermelha Portuguesa, 1300-125 Lisbon, Portugal
Joaquín O. Izquierdo-Cases: Faculty of Health Sciences, Universidad Católica San Antonio de Murcia, 30107 Murcia, Spain
Alfonso Martínez-Nova: Department of Nursing, Universidad de Extremadura, 10003 Caceres, Spain
Elena Contreras-Barragán: Private Practice, Calle Manuel Sánchez, 21006 Huelva, Spain
Pedro V. Munuera-Martínez: Department of Podiatry, University of Seville, 41009 Seville, Spain

IJERPH, 2022, vol. 19, issue 13, 1-8

Abstract: The Winograd technique is a common surgical treatment for ingrown toenails. Attempting to improve the results of this technique, two modifications were adopted: the incisional approach and the use of adhesive approximation strips. This study aimed to compare the conventional technique and the modified version based on (i) postoperative complications, (ii) healing time, (iii) recurrence rate, and (iv) overall patient satisfaction. A longitudinal, observational, and retrospective design was used, with a sample of 208 patients divided into the modified Winograd technique (n = 111) and the conventional Winograd technique (n = 97) in three clinics in Portugal, with follow-up periods of more than 15 years and 10 years, respectively. The modifications to the Winograd technique revealed fewer postsurgical complications, in terms of infections (1.8% vs. 20.62%, p < 0.010), recurrence rate (2.7% vs. 5.21%, p > 0.05), shorter recovery time (8.10 ± 0.76 vs. 14.51 ± 3.48 days, p < 0.001), and lower postoperative pain and better satisfaction with the functional and esthetic results, with the patient’s overall satisfaction, and with significant differences in relation to the conventional technique ( p < 0.001). The modifications performed showed a lower rate of infection, decreased healing time, and better patient satisfaction, suggesting that it may be adopted in clinical practice for the treatment of stages II and III ingrown toenails.

Keywords: ingrown toenail; Onychocryptosis; surgery; Winograd; foot (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
References: View complete reference list from CitEc
Citations:

Downloads: (external link)
https://www.mdpi.com/1660-4601/19/13/7818/pdf (application/pdf)
https://www.mdpi.com/1660-4601/19/13/7818/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:19:y:2022:i:13:p:7818-:d:847921

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().