Isik Cengiz, Cakici Husamettin, Cagri Kose Kamil, Goksugur Nadir
1Department of Orthopedics and Traumatology, School of Medicine, Abant Izzet Baysal University, Bolu, 2Department of Orthopedics and Traumatology, School of Medicine, Sakarya University, Sakarya, 3Department of Dermatology, School of Medicine, Abant Izzet Baysal University, Bolu; Turkey.
Med Glas (Zenica). 2013 Feb;10(1):81-5.
To compare only partial matrixectomy and combination techniques (partial matrixectomy + phenol application) in the treatment of patients with an ingrown toenail in terms of recurrence, residual pain level and time of return to daily activities.
The study included 118 patients with moderately ingrown toenails who were unresponsive to conservative treatment together with severely ingrown toenail patients. Of these patients, 76 cases were treated with a partial matrixectomy technique and 42 patients received combination treatment. Patients having nail infection received preoperative oral antibiotics.
Of 118 patients, 87 were males and 31 were females. The disease relapsed in seven (9.2%) of the patients treated with the partial matrixectomy technique, and in two (4.8%) patients from the combination treatment group (p=0.5). No statistically significant difference was found between the groups in terms of return time to daily activities (p=0.5) nor in terms of residual pain (p=0.7).
Treatment costs and operation times of patients who underwent phenol application in addition to partial matrixectomy were found to be higher compared to only partial matrixectomy, however combined therapy was not found to be superior to only partial matrixectomy in terms of recurrence, post-op pain and return to daily activities.
比较单纯部分甲床切除术与联合技术(部分甲床切除术+苯酚应用)治疗嵌甲患者在复发率、残余疼痛程度及恢复日常活动时间方面的差异。
该研究纳入了118例对保守治疗无反应的中度嵌甲患者以及重度嵌甲患者。其中,76例患者采用部分甲床切除术治疗,42例患者接受联合治疗。有指甲感染的患者术前口服抗生素。
118例患者中,男性87例,女性31例。部分甲床切除术治疗组有7例(9.2%)患者疾病复发,联合治疗组有2例(4.8%)患者复发(p=0.5)。两组在恢复日常活动时间方面(p=0.5)以及残余疼痛方面(p=0.7)均未发现统计学上的显著差异。
与单纯部分甲床切除术相比,部分甲床切除术联合苯酚应用的患者治疗费用和手术时间更高,然而在复发率、术后疼痛及恢复日常活动方面,联合治疗并不优于单纯部分甲床切除术。