A comparison of clinical outcomes between the winograd and modified winograd methods for ingrown toenails: A retrospective study of the importance of suturing techniques

dc.authoridGökhan Peker / 0000-0002-6211-6645
dc.authorscopusidGökhan Peker / 37117701200
dc.authorwosidGökhan Peker / JGG-6045-2023
dc.contributor.authorAltun, İbrahim
dc.contributor.authorPeker, Gökhan
dc.date.accessioned2022-07-07T13:25:13Z
dc.date.available2022-07-07T13:25:13Z
dc.date.issued2022en_US
dc.departmentİstinye Üniversitesi, Hastaneen_US
dc.description.abstractAim: This study aimed to compare the effects of the Winograd and modified Winograd methods for nail bed suturing on clinical outcomes in patients with nail ingrown. Methods: In total, 45 patients who underwent surgery for ingrown toenails between December 2019 and December 2020 were randomised retrospectively. In this study, different methods applied by the authors were studied, and the methods applied by each author were divided into two separate groups. All patients had partial germinal matrix and nail bed excisions. Thirty (53.6%) of the nails were dressed in gauze, leaving the excised area of the nail unsutured (group 1). Then, the remaining 26 nails (group 2) were sutured with the mattress suturing technique to ensure that the skin was under the nail. Clinical outcomes, visual analogue scale (VAS) scores, and verbal satisfaction status were statistically evaluated. Results: In our study, 56 nails of 45 patients were evaluated retrospectively. The patients were followed up for an average of 13 (1019) months. The mean age was 27.13 (15-48) years. In total, 31 (68.9%) of the patients were men, and 14 (31.1%) were women. The incidence of postoperative bleeding and granulation tissue development decreased in the sutured group. In group 1, the development of hypertrophic granulation tissue after surgery had a significantly negative impact on VAS score and recovery time. In the sutured group, patients returned to work or performed activities of daily living for a shorter period. Approximately 95% of patients were satisfied or extremely satisfied. Conclusion: Partial matrix excision using the appropriate suturing technique is associated with a fast recovery, low recurrence rate, high patient satisfaction, and earlier return to work activities of daily life among patients treated for ingrown toenails.en_US
dc.identifier.citationAltun, I., Peker, G. (2022). A comparison of clinical outcomes between the winograd and modified winograd methods for ingrown toenails: A retrospective study of the importance of suturing techniques. Cureus Journal of Medical Science, 14(6).en_US
dc.identifier.doi10.7759/cureus.25941en_US
dc.identifier.issn2168-8184en_US
dc.identifier.issue6en_US
dc.identifier.urihttps://doi.org/10.7759/cureus.25941
dc.identifier.urihttps://hdl.handle.net/20.500.12713/2995
dc.identifier.volume14en_US
dc.identifier.wosWOS:000814680300003en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorPeker, Gökhan
dc.language.isoenen_US
dc.publisherCUREUS INCen_US
dc.relation.ispartofCUREUS JOURNAL OF MEDICAL SCIENCEen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectRecurrent Ingrown Toenailsen_US
dc.subjectKnot Tecniqueen_US
dc.subjectSurgical Treatmenten_US
dc.subjectModified Winograd Methoden_US
dc.subjectIngrown Nailsen_US
dc.titleA comparison of clinical outcomes between the winograd and modified winograd methods for ingrown toenails: A retrospective study of the importance of suturing techniquesen_US
dc.typeArticleen_US

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