一种新型改良的 Winograd 手术技巧和窍门，采用“鸟瓣”治疗嵌甲。
A novel modified Winograd surgical tricks and tips with a "bird flap" for the treatment of ingrown toenails.
机构信息
Department of Orthopedics, The First People's Hospital of Lianyungang, Lianyungang 222000, Jiangsu Province, China; Suzhou Medical College of Soochow University, Suzhou 215000, Jiangsu Province, China.
Department of Orthopedics, Wuxi 9th People's Hospital Affiliated to Soochow University, Wuxi 214026, Jiangsu Province, China.
出版信息
Foot Ankle Surg. 2023 Jun;29(4):361-366. doi: 10.1016/j.fas.2023.03.004. Epub 2023 Mar 15.
BACKGROUND
The Winograd technique is the most commonly used surgical treatment for ingrown toenails. We describe a novel modified approach, more effective and simpler to perform with a better cosmetic outcome.
METHODS
We retrospectively included 45 and 39 patients with 67 and 58 ingrown toenails who underwent our modified Winograd technique and the Winograd technique, respectively, from July 2017 to June 2020, and obtained data after 3, 6, and 12 months of follow-up.
RESULTS
No significant differences in the postoperative time taken to return to regular activities in the modified Winograd and traditional Winograd groups (p = 0.103) and regarding the recurrence in both groups (p = 0.055) were found. The extent of proximal germinal matrix exposure with the modified Winograd technique was significantly more clearly revealed than in the traditional Winograd method contextually (p < 0.05). The postoperative appearance satisfaction rate was significantly higher in the modified Winograd group than in the traditional Winograd group (p = 0.029).
CONCLUSION
The modified Winograd technique is effective in treating ingrown toenails.
背景
Winograd 技术是治疗嵌甲的最常用手术方法。我们描述了一种新颖的改良方法，该方法更有效且更易于操作，具有更好的美容效果。
方法
我们回顾性纳入了 2017 年 7 月至 2020 年 6 月间分别接受改良 Winograd 技术和传统 Winograd 技术治疗的 45 例和 39 例共 67 例和 58 例嵌甲患者，随访 3、6 和 12 个月后获得数据。
结果
改良 Winograd 组和传统 Winograd 组在术后恢复正常活动的时间（p=0.103）和两组的复发率（p=0.055）方面无显著差异。改良 Winograd 技术中近端生发基质暴露的程度明显比传统 Winograd 方法更清晰（p<0.05）。改良 Winograd 组的术后外观满意度明显高于传统 Winograd 组（p=0.029）。
结论
改良 Winograd 技术治疗嵌甲有效。
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