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Radical wedge resection for ingrown toenail: long-term results
Summary
A novel radical wedge resection offers a simple, effective surgical treatment for ingrown toenails. This procedure ensures permanent healing with a cosmetically pleasing outcome, allowing patients to wear normal shoes quickly.
Area of Science:
- Podiatric surgery
- Dermatological surgery
Background:
- Ingrown toenail (onychocryptosis) is a common condition causing pain and discomfort.
- Existing surgical treatments often compromise cosmetic outcomes or have high recurrence rates.
Purpose of the Study:
- To describe a radical wedge resection technique for ingrown toenails.
- To evaluate the efficacy, recurrence rate, and cosmetic outcome of this surgical approach.
Main Methods:
- A radical wedge resection of the affected nail fold was performed.
- The procedure was adopted over 20 years, treating initial series of 67 patients followed by 339 patients.
Main Results:
- The radical wedge resection demonstrated a low recurrence rate.
- Patients experienced intact, pain-free, and cosmetically acceptable nail-bearing toes.
- Early return to wearing normal shoes was achieved post-operatively.
Conclusions:
- Radical wedge resection is a highly effective surgical option for ingrown toenails.
- This technique provides permanent healing with superior cosmetic results compared to other methods.
- The procedure offers a favorable balance between therapeutic success and patient satisfaction.

