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Original Article

J Liaquat Uni Med Health Sci. 2013; 12(3): 182-185

Outcome of Partial Nail Plate and Matrix Removal (Winograd Technique) for Ingrown Toe Nail

Syed Muhammad Ali, Gulzar Saeed Ahmed, Syed Muhammad Tahir.


INTRODUCTION: Ingrown toe nails are one of the common and painful condition of foot. The
most common presentation is distal lateral ingrowing. When the conservative treatment fails,
problem is recurrent or if the lesion is more severe, surgical treatment is advised. Surgical treatment
consists of partial or complete nail excision in combination or without partial matricectomy.
This study highlights the results of surgical intervention with Winograd technique.
MATERIAL AND METHODS: The study was conducted at Liaquat university hospital and a private
practice setup between January 2010 and July 2011.The inclusion criteria was adult patients
of either sex with ingrown toe nail in stage two and three involving big toe. A total of 70
patients were enrolled in the study. Sixty five patients with 65 toes were finally registered for
follow up. Winograd surgical technique was used for excising lateral 20% to 25% of the ingrown
nail with matrix removal. Primary outcome measures were, well healed wound, pain free
toe, and no recurrence. Secondary outcome measures were post operative infection and recurrence
within one year after surgery.
RESULTS: Thirty (46.15%) patients were male and 35(53.85%) female. Their mean age was 27.30
years (range 20 to 45 years). The mean follow up period was 9.46 Months. Twenty five patients
(38.46%) were in stage II and 40(61.54%) were in stage III. Fifty eight patients (89.23%) recovered
uneventfully with no postoperative complications. There mean recovery time was, 13.62
days. Early postoperative complications were seen in seven ( 10.76%) patients. Two had swelling
and 5 patients (7.69%) develop postoperative infection. These seven patients with infection
and swelling recovered in the mean time of 20.71days, whereas all recovered in the mean time
of 14.38 days. Recurrence was seen in 4.61% within a mean period of 5 months. With chi square
test only 3 cases had recurrence and 62 behave satisfactory with p value of P

Key words: Ingrown, toenail, wingograd technique.

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