A prospective comparison of wedge matrix resection with nail matrix phenolization for the treatment of ingrown toenail

In a prospective study, 110 patients with ingrown toenails were operated on, 55 with wedge matrix resection (WMR) and 55 with nail matrix phenolization (NMP). The patients were randomized on the basis of their address. All patients were reviewed by questionnaire 4 weeks postoperatively to establish...

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Bibliographic Details
Published in:The Journal of foot and ankle surgery 2001-11, Vol.40 (6), p.390-395
Main Authors: Herold, Niels, Houshian, Shirzad, Riegels-Nielsen, Per
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Biological and medical sciences
Chi-Square Distribution
Child
comparison
Female
Humans
Male
matrix resection
Medical sciences
Nails - surgery
Nails, Ingrown - surgery
Nails, Ingrown - therapy
Phenol - therapeutic use
phenolization
Prospective Studies
Sclerosing Solutions - therapeutic use
Skin plastic surgery
Statistics, Nonparametric
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
toenail
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Summary:In a prospective study, 110 patients with ingrown toenails were operated on, 55 with wedge matrix resection (WMR) and 55 with nail matrix phenolization (NMP). The patients were randomized on the basis of their address. All patients were reviewed by questionnaire 4 weeks postoperatively to establish the degree of pain, time of pain relief, walking and working ability, and the presence of infection. Furthermore, they were examined clinically at a median follow-up time of 11 months postoperatively to evaluate recurrence rate, rate of spicula formation, and patient satisfaction with regard to cosmesis and symptom relief. The data were tested for statistical significance using the chi-square test and Mann-Whitney rank sum test. The recurrence rate of ingrown toenail for the WMR group was 5.5% (3 patients) with a spicula rate of 36% (20 patients) and a reoperation rate of 20% (9 patients). In the NMP group, there were no recurrences (p = n.s.), the spicula rate was 7.3% (4 patients) (p < .005) and no patients were reoperated on (p < .016). Patient satisfaction with less pain and earlier pain relief was greatest in the NMP group. These results indicate that nail matrix phenolization is an efficient therapy for ingrown toenails and may be preferable to nail wedge resection.
ISSN:1067-2516
1542-2224
DOI:10.1016/S1067-2516(01)80006-5