Winograd Method Versus Winograd Method With Electrocoagulation in the Treatment of Ingrown Toenails

Basit Öğe Kaydı
dc.contributor.authorAcar, Erdinc
dc.date.accessioned2024-02-23T14:16:49Z
dc.date.available2024-02-23T14:16:49Z
dc.date.issued2017
dc.departmentNEÜen_US
dc.description.abstractAn important component of the Winograd surgical method for an ingrown toenail is total excision of the associated germinal matrix. However, this might not always be accomplished with the procedure. We hypothesized that the surgical results might be improved by adding electrocoagulation of the germinal matrix to the Winograd method. The objective of the present study was to compare the recurrence, satisfaction, and complication rates of the Winograd method with those of the Winograd method with electrocoagulation. We retrospectively evaluated the records of 102 patients with single Heifetz stage 2 or 3 ingrown toenails who had undergone surgery from January 2013 to October 2014 using 1 of these 2 methods. Of the 102 patients, 50 (49%) underwent the Winograd method and 52 (51%) underwent the Winograd method with electrocoagulation. The mean follow-up period of our patients was 12 (range 6 to 22) months. An ingrown toenail recurred in 3 patients (6%) in the Winograd group and in no patient in the Winograd with electrocoagulation group (p =.04). Among the patients in the Winograd group, 46 (92.0%) were satisfied or very satisfied. Among the patients in the Winograd plus electrocoagulation group, 49 (94.2%) were satisfied or very satisfied (p =.04). No complications developed in either group. In conclusion, the Winograd method for ingrown toenails results in high satisfaction rates, low recurrence rates, and low complication rates. The addition of electrocoagulation of the germinal matrix to the Winograd method could result in even lower recurrence rates, while maintaining high patient satisfaction and without increasing the risk of complications. (C) 2017 by the American College of Foot and Ankle Surgeons. All rights reserved.en_US
dc.identifier.doi10.1053/j.jfas.2017.01.010
dc.identifier.endpage477en_US
dc.identifier.issn1067-2516
dc.identifier.issn1542-2224
dc.identifier.issue3en_US
dc.identifier.pmid28242214en_US
dc.identifier.scopus2-s2.0-85013666757en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage474en_US
dc.identifier.urihttps://doi.org/10.1053/j.jfas.2017.01.010
dc.identifier.urihttps://hdl.handle.net/20.500.12452/12817
dc.identifier.volume56en_US
dc.identifier.wosWOS:000400884400011en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Science Incen_US
dc.relation.ispartofJournal Of Foot & Ankle Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectGerminal Matrixen_US
dc.subjectHeifetzen_US
dc.subjectOnychocryptosisen_US
dc.subjectPartial Matricectomyen_US
dc.subjectRecurrenceen_US
dc.subjectSatisfactionen_US
dc.subjectWedge Resectionen_US
dc.titleWinograd Method Versus Winograd Method With Electrocoagulation in the Treatment of Ingrown Toenailsen_US
dc.typeArticleen_US

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