Partial matrix excision or orthonyxia for ingrowing toenails.

Area of Science:

• Podiatry
• Surgical Procedures
• Clinical Trials

Background:

• Ingrown toenails of the hallux are a common condition requiring effective treatment.
• Evaluating the comparative efficacy of surgical and conservative approaches is crucial for patient outcomes.

Purpose of the Study:

• To compare the effectiveness of partial matrix excision versus orthonyxia for treating ingrown toenails of the hallux.
• To assess recurrence rates, postoperative morbidity, and recovery time for both procedures.

Main Methods:

• A prospective randomized clinical trial was conducted with 105 patients.
• Patients were assigned to either partial matrix excision (n=58) or orthonyxia (n=51).
• Outcomes included 12-month recurrence rates, morbidity, and time to recovery.

Main Results:

• Recurrence rates were not significantly different between groups (4 vs. 8, p=0.14).
• Orthonyxia demonstrated significantly better outcomes in terms of reduced postoperative morbidity, faster recovery, and increased patient satisfaction.
• Patients undergoing orthonyxia experienced quicker return to daily activities and hobbies.

Conclusions:

• Both partial matrix excision and orthonyxia are effective treatments for ingrown toenails.
• Orthonyxia is associated with superior patient outcomes, including less postoperative morbidity and faster recovery.
• Orthonyxia offers a favorable alternative with enhanced patient satisfaction for ingrown toenail management.