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Evidencing Superior Efficacy.

Muhammed Kazez1, Mustafa Yalin1, Orhan Ayas1

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Summary
This summary is machine-generated.

The novel suture technique combined with electrocoagulation in the Winograd method significantly reduces ingrown toenail recurrence and improves patient satisfaction. This surgical approach offers superior outcomes compared to traditional methods.

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Area of Science:

  • Podiatric surgery
  • Surgical innovation

Background:

  • Ingrown toenail (onychocryptosis) is a common condition requiring surgical intervention.
  • The Winograd method (WM) is a standard surgical treatment, with variations including electrocoagulation (EC) and different suture techniques.

Purpose of the Study:

  • To compare recurrence rates, complications, and patient satisfaction across four variations of the Winograd method for ingrown toenail treatment.
  • To evaluate the impact of electrocoagulation (EC) and a novel suture technique on surgical outcomes.

Main Methods:

  • Retrospective analysis of 605 patients undergoing ingrown toenail surgery using WM.
  • Patients were categorized into four groups based on surgical technique: WM + EC + new suture, WM + EC + traditional suture, WM + non-EC + traditional suture, and WM + non-EC + new suture.
  • Outcomes assessed included recurrence rates, complication incidence, and patient satisfaction levels.

Main Results:

  • The WM + EC + new suture group showed the lowest recurrence rates and highest patient satisfaction.
  • The WM + non-EC + traditional suture group exhibited the highest recurrence rates and lowest satisfaction.
  • The suture technique demonstrated a more significant impact on reducing recurrence than electrocoagulation.

Conclusions:

  • Combining germinal matrixectomy with EC and a novel suture method using WM may enhance patient satisfaction and decrease ingrown toenail recurrence.
  • The novel suture technique appears to be a critical factor in reducing recurrence rates more than EC.