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The ingrowing toenail: a modified segmental matrix excision operation.

S S Gabriel, V Dallos, D L Stevenson

    The British Journal of Surgery
    |April 1, 1979
    PubMed
    Summary
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    This study presents a simple surgical technique for ingrowing toenails, achieving a low recurrence rate of 1.7% and allowing patients to wear normal footwear within five days. The procedure involves excising a segment of the germinal matrix with minimal skin and nail wall interference.

    Area of Science:

    • Podiatric surgery
    • Dermatological surgery

    Background:

    • Ingrowing toenails (onychocryptosis) are a common and painful condition.
    • Existing surgical treatments can have variable recurrence rates and prolonged recovery periods.

    Purpose of the Study:

    • To evaluate the efficacy of a minimally invasive surgical technique for ingrowing toenails.
    • To assess patient recovery time and recurrence rates associated with the described procedure.

    Main Methods:

    • A consecutive series of 528 patients underwent surgery for ingrowing toenails.
    • A simple surgical technique involving complete excision of a germinal matrix segment was employed.
    • The procedure minimized skin incision and interference with the nail wall, performed under local anesthesia.

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    Main Results:

    • 79% of patients were able to wear normal footwear by the fifth postoperative day.
    • The overall recurrence rate for ingrowing toenails was reported as 1.7%.
    • The technique demonstrated a high success rate with rapid return to normal activities.

    Conclusions:

    • This minimally invasive surgical technique for ingrowing toenails is effective and safe.
    • The procedure offers a rapid recovery and a low recurrence rate, improving patient quality of life.