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Partial matrix excision or segmental phenolization for ingrowing toenails.
Carina L E Gerritsma-Bleeker1, Joost M Klaase, Robert H Geelkerken
1Department of Orthopaedic Surgery, Martini Hospital, Groningen, the Netherlands.
Archives of Surgery (Chicago, Ill. : 1960)
|March 13, 2002
Summary
Partial matrix excision and phenolization show equal effectiveness for ingrowing toenails. Partial matrix excision is preferred due to phenol
Area of Science:
- Podiatric surgery
- Dermatology
- Surgical innovation
Background:
- Ingrowing toenails of the hallux are a common condition requiring effective treatment.
- Current surgical options include partial nail extraction with phenolization or partial matrix excision.
- Standardizing treatment requires comparative efficacy and safety data.
Purpose of the Study:
- To compare the efficacy and outcomes of partial matrix excision versus phenolization for ingrowing toenails.
- To determine the standard treatment for ingrowing toenails of the hallux.
Main Methods:
- A randomized clinical trial was conducted with 58 patients (63 ingrowing toenails).
- Procedures included 34 partial matrix excisions and 29 phenolizations.
- 12-month follow-up by blinded observers assessed recurrence, morbidity, and recovery time.
Main Results:
- Both partial matrix excision and phenolization demonstrated similar recurrence rates (7 in each group).
- No statistically significant differences were found in wound healing, postoperative pain, or recovery time.
- Symptomatic recurrences requiring reoperation occurred in 4 matrix group and 3 phenol group patients.
Conclusions:
- Partial matrix excision and phenolization are equally effective for ingrowing toenails.
- Partial matrix excision is preferred to avoid the toxic agent phenol.
- High recurrence rates indicate a need for improved ingrowing toenail treatments.