News: Partial matrix excision or orthonyxia for ingrowing toenails
Partial matrix excision and orthonyxia are equally effective
treatments for ingrown toenails. But the orthonyxia procedure showed better
results, with less postoperative morbidity, shorter time to complete recovery,
fewer postoperative symptoms, and greater patient satisfaction.
The
studydesign was a prospective randomized clinical trial with 12-month
observer-blinded followup. 105 consecutive patients were randomized with a
total of 109 ingrown toenails to either partial matrix excision (n=58) or an
orthonyxia procedure (n=51). The main outcomes measurements were rate of
recurrence after 12 months, postoperative morbidity, and time to complete
recovery.
The
12-month followup was completed in 55 of 58 patients undergoing partial matrix
excision and 47 of 51 patients having orthonyxia. There were four ingrown
toenails, four recurrences in the partial matrix excision group, and eight in
the orthonyxia group (NS, p=0.14). Postoperative morbidity parameters (redness,
pus, postoperative bleeding); time to complete recovery, wearing shoes (p <
0.01), and performing activities of daily living and hobbies; postoperative
symptoms; and patient satisfaction all favored orthonyxia.
Source:
Kruijff S J
et al. Am Coll Surg. 2008; 206(1):148-53.
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