Modified Winograd technique versus partial resection with electrocoagulation for surgical management of ingrown...

Ingrown toenails significantly impact quality of life. This study compares the clinical outcomes of the modified Winograd method versus partial resection with matrix electrocoagulation. We hypothesize that electrocoagulation will result in lower recurrence rates, shorter recovery times, and higher patient satisfaction compared to the modified Winograd method.

We analyzed data from 132 patients who underwent surgery at our hospital between January 2016 and January 2023. The patients were divided into two groups: Group A (69 patients), who underwent the modified Winograd procedure, and Group B (63 patients), who received partial nail excision with matrix electrocoagulation. We compared recurrence rates, recovery times, patient satisfaction, types and frequencies of complications, and VAS pain scores. Statistical analysis was performed using the t-test and chi-square test.

Recurrence rates were 15% in Group A and 10% in Group B (p = 0.251). Infection rates were 10% in Group A and 8% in Group B (p = 0.459). The average recovery time was 11 days for Group A (range: 5-21 days) and 9 days for Group B (range: 5-20 days) (t = 2.81, p = 0.006). Postoperative VAS scores decreased significantly, with Group B showing a greater reduction in pain (t = 3.18, p = 0.002). Patient satisfaction was higher in Group B, though the difference was not statistically significant (Chi-square = 6.45, p = 0.091).

The modified Winograd method remains effective, with high satisfaction and low recurrence rates. However, partial nail resection with matrix electrocoagulation offers shorter recovery times and greater pain reduction.

Retrospective comparative study.