Document Detail


Partial matrix excision or segmental phenolization for ingrowing toenails.
MedLine Citation:
PMID:  11888459     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To decide whether partial nail extraction with phenolisation or with partial excision of the matrix should be the standard treatment in patients with ingrowing toenails of the hallux. DESIGN: Randomized clinical trial with 12-month follow-up evaluations performed by observers who did not know which procedure was applied. SETTING: Outpatient department of a surgical teaching hospital. PATIENTS: Fifty-eight consecutive patients with a total of 63 ingrowing toenails were randomized. INTERVENTION: Thirty-four partial matrix excisions ("matrix" group) and 29 phenolizations ("phenol" group) were performed. MAIN OUTCOME MEASURES: Recurrence rate, postoperative morbidity (pain, wound exudates, and scar discomfort), and time to complete recovery (wearing shoes, performing normal activities/work). RESULTS: Recurrences were seen after 7 procedures in the matrix group and also after 7 procedures in the phenol group, of which patients were symptomatic and required a second operation in 4 and 3 instances, respectively. None of the observed differences in wound healing, postoperative pain, and recovery were statistically significant. CONCLUSIONS: Partial matrix excision and phenolization are equally effective in treating ingrowing toenails. Because the use of the toxic agent phenol should be avoided, partial matrix excision is the preferable procedure. But in view of the high recurrence rate, there is a need for further improvement of the treatment of ingrowing toenails.
Authors:
Carina L E Gerritsma-Bleeker; Joost M Klaase; Robert H Geelkerken; Jo Hermans; Rob J van Det
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Archives of surgery (Chicago, Ill. : 1960)     Volume:  137     ISSN:  0004-0010     ISO Abbreviation:  Arch Surg     Publication Date:  2002 Mar 
Date Detail:
Created Date:  2002-03-12     Completed Date:  2002-03-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9716528     Medline TA:  Arch Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  320-5     Citation Subset:  AIM; IM    
Affiliation:
Department of Orthopaedic Surgery, Martini Hospital, Groningen, the Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Anti-Infective Agents, Local / therapeutic use*
Child
Combined Modality Therapy
Female
Hallux*
Humans
Male
Middle Aged
Nails, Ingrown / drug therapy*,  surgery*
Phenol / therapeutic use*
Recurrence
Surgical Procedures, Operative / adverse effects,  methods
Treatment Outcome
Chemical
Reg. No./Substance:
0/Anti-Infective Agents, Local; 108-95-2/Phenol

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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