Winograd surgery can be performed under partial digital block in patients with ingrown toenails

• Published in: Foot and ankle surgery 2022-08, Vol.28 (6), p.785-788
• Main Author: Pamuk, Çağdaş
• Format: Article
• Language: English
• Subjects: Ingrown toenails; Partial digital block; Traditional ring block; Winograd procedure
• ISSN: 1268-7731; 1460-9584
• DOI: 10.1016/j.fas.2021.11.002

•Postoperative pain level was similar between partial and total ring block.•Postoperative satisfaction level was similar between partial and total ring block.•Reoperation rate was similar between partial and total ring block.•Winograd surgery can be performed under partial digital block. Winograd procedures performed under a partial digital block with a single needle to the surgical side instead of the entire toe were not evaluated. This study aimed to examine the clinical results of classic ring block and partial digital block performed during Winograd procedures in cases of ingrown toenails. A total of 210 patients underwent Winograd surgery were divided into two groups according to the type of anesthesia used as follows: traditional ring block (TRB) and partial digital block (PDB). Visual analog scale (VAS) scores, Heifetz stage patient satisfaction levels, recurrence rates, and need for reoperation were recorded. Compared with the PDB group, the during operation VAS score was statistically significantly higher in the TRB group (p = 0001). There was no statistically significant difference between the groups in terms of postoperative satisfaction, recurrence (p = 0294), and reoperation rates (p = 0651). This study is the first to show that adequate anesthetic efficacy can be achieved with a less invasive intervention for Winograd procedures.