OP 177. Comparing Three Repair Method for The Treatment of Ingrown Nail


E. Etkin, V. Onur Gul, S. Ahioglu

Chair(s): Attila Szijártó, Miguel Cainzos & Andrea Szabó

9:30 - 9:40h at Pest Room (C)

Categories: Oral Session, Orthopaedic Surgery and Traumatology

Session: Oral Session XIX - Wound Healing & Emergency


Background
Ingrowing toenail is a common problem affecting mainly adolescents and young adults, with a male predominance of 3:1.Patients commonly present with pain in the affected nail but with progression, drainage, infection, and difficulty walking occur. There are various surgical treatment modalities for ingrowing nail. Retrospective analyses was performed on 146 ingrown tail patients treated with surgically between 2008 and 2011.

Materials and Methods
Retrospective analyses was performed of 146 ingrown tail patients treated with surgically between 2008 and 2011. Over a 2-year period 3 various surgical method were carried out on 280 patients. The aim of our study was to compare the surgical methods for treatment of ingrowing toe nail. The patients were divided into three groups. Group 1(n=56) were treated with wedge resection and curettage, group 2 (n=31) were treated with wedge resection and with chemical matrictectomy (segmental phenolisation) and group 3 (n=33) were treated with wedge resection and cauterization.

Result
There were significantly lower recurrence were in group 2 ( n=1 %3,2) acording the Group 1( n=3, %5,4) and Group 3 (n=3,%9) (p<0.001). The technique is easy to perform and is associated withlittle morbidity. We conclude that phenol cauterization is an excellent surgical method for the treatment of ingrowing toe nail because of its simplicity, low morbidity and high success rate.

Conclusion
We conclude that wedge resection with chemical matrictectomy with 80 per cent phenol should replace surgical ablation in the treatment of ingrown toenails