使用微创甲固定器治疗嵌甲:与 Winograd 技术的比较研究。

IF 0.5 4区 医学 Q4 ORTHOPEDICS Journal of the American Podiatric Medical Association Pub Date : 2024-01-01 DOI:10.7547/22-024
Tuğrul Ergün, Mehmet Korkmaz, Dilan Ergün, Kaya Turan, Osman Görkem Muratoğlu, Haluk Cabuk
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引用次数: 0

摘要

背景:治疗嵌甲的手术方法有很多。甲床切除术后感染的发生可能导致临床医生更倾向于使用外支架治疗嵌甲。本研究比较了接受甲固定技术和 Winograd 技术治疗的内生趾甲患者:对接受内生趾甲手术的患者进行回顾性研究。方法:对接受内生趾甲手术的患者进行回顾性研究,记录患者的人口统计学特征(年龄、性别、根据 Heifetz 分类的体重指数[BMI]形态、手术技术、视觉模拟量表(VAS)值、恢复日常活动的时间(天数)、并发症和满意度):研究共纳入了 70 名患者。其中,33 名患者接受了钢钉固定术,37 名患者接受了 Winograd 技术。两组患者在年龄、性别、体重指数、术前临床特征、长期满意度和内生趾甲复发率等方面均无明显统计学差异,但与 Winograd 技术相比,采用钉子固定术治疗的患者恢复日常活动的时间和 VAS 值明显较低:结论:钉子固定是治疗嵌甲的一种有效手术方法。
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Treatment of Ingrown Toenail with a Minimally Invasive Nail Fixator: Comparative Study with Winograd Technique.

Background: Many surgical techniques have been reported for treatment of ingrown toenails. Occurrence of infection after matricectomy procedures could cause clinicians to prefer using external braces in the treatment of ingrown toenails. This study compares patients with ingrown toenails who underwent the nail fixation technique and the Winograd technique.

Methods: Patients who underwent ingrown toenail surgery were reviewed retrospectively. The patients' demographic characteristics (ie, age, gender, body mass index morphology according to Heifetz classification, surgical technique, visual analogue scale values, time to return to daily activities [days], complications, and satisfaction levels) were all recorded.

Results: Seventy patients were included in the study. Of the patients, 33 underwent nail fixation and 37 underwent the Winograd technique. No significant statistical differences were found in terms of patients' age, gender, body mass index, preoperative clinical features, long-term satisfaction, and ingrown toenail recurrence rates between the two groups, but time to return to daily activities and visual analogue scale values were statistically significantly lower in patients treated using nail fixation compared with the Winograd technique.

Conclusions: Nail fixation can be an effective surgical treatment option for ingrown toenail.

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来源期刊
CiteScore
1.10
自引率
0.00%
发文量
128
审稿时长
6-12 weeks
期刊介绍: The Journal of the American Podiatric Medical Association, the official journal of the Association, is the oldest and most frequently cited peer-reviewed journal in the profession of foot and ankle medicine. Founded in 1907 and appearing 6 times per year, it publishes research studies, case reports, literature reviews, special communications, clinical correspondence, letters to the editor, book reviews, and various other types of submissions. The Journal is included in major indexing and abstracting services for biomedical literature.
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