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Related Experiment Videos

Gutter treatment for ingrowing toenails.

W A Wallace, D D Milne, T Andrew

    British Medical Journal
    |July 21, 1979
    PubMed
    Summary
    This summary is machine-generated.

    The gutter treatment for ingrowing toenails offers a low-skill, outpatient option with immediate pain relief. While effective, a prospective study showed it was less successful than wedge resection for long-term cure.

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    Area of Science:

    • Podiatry
    • Surgical Procedures

    Background:

    • Ingrowing toenails (onychocryptosis) are a common condition causing pain and potential infection.
    • Current treatments include avulsion and wedge resection, each with varying success rates and invasiveness.

    Purpose of the Study:

    • To evaluate the long-term efficacy and outcomes of the gutter treatment for ingrowing toenails.
    • To compare the gutter method with toenail avulsion and wedge resection.

    Main Methods:

    • A preliminary retrospective study and a randomized prospective study were conducted.
    • Patients received either gutter treatment, toenail avulsion, or wedge resection.
    • Outcomes were assessed at one year post-treatment.

    Main Results:

    Related Experiment Videos

  • In the retrospective study, 56% of patients treated with the gutter method were cured after one year.
  • In the prospective study, 56% of patients treated with the gutter method achieved a cure, compared to 84% treated with wedge resection.
  • The gutter treatment provided immediate pain relief and good cosmetic results.

    • Conclusions:

    • The gutter treatment is a low-skill procedure suitable for general practice, offering immediate pain relief and good cosmesis.
    • While effective, the gutter treatment demonstrated lower long-term cure rates compared to wedge resection in a prospective study.
    • The gutter method does not preclude future surgical interventions if necessary.