Comparison of Two Surgical Methods (Winograd vs. Sleeve Method) in the Treatment of Ingrown Toenail.
COMPARISON OF TWO SURGICAL METHODS (WINOGRAD VS SLEEVE METHOD) IN THE TREATMENT OF INGROWN TOE NAIL
Pakistan Institute of Medical Sciences
312 participants
Jun 1, 2025
INTERVENTIONAL
Conditions
Summary
This randomized clinical trial aims to compare the recurrence rates of two surgical techniques-Winograd procedure and sleeve (gutter) method-in the treatment of ingrown toenails (onychocryptosis). A total of 312 nails will be randomized into two groups, with patients receiving either the Winograd procedure or sleeve method. Participants will be followed for 30 days post-intervention to assess recurrence and other clinical outcomes. The study seeks to determine the more effective treatment modality for reducing recurrence in a tertiary care setting.
Eligibility
Inclusion Criteria5
- Patients presenting with ingrown toenail (onychocryptosis)
- Patients for whom surgical intervention is indicated
- Age between 12 and 75 years
- Both male and female participants
- Patients willing to provide informed consent
Exclusion Criteria8
- Patients with diabetes mellitus
- Patients with peripheral vascular disease
- Immunocompromised patients
- Patients with coagulopathy
- Patients receiving chemotherapy
- Patients with localized infection or abscess at the surgical site
- Patients with previously treated or recurrent ingrown toenail
- Patients presenting with delayed complications of prior ingrown toenail surgery
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Interventions
Surgical partial nail avulsion with excision of the lateral nail matrix and nail fold. A longitudinal incision is made along the ingrown nail edge, followed by wedge resection of the nail matrix and surrounding soft tissue. The wound is closed with sutures.
Partial removal of the ingrown nail edge followed by insertion of a flexible tube beneath the nail margin to separate it from the surrounding soft tissue and guide proper nail growth. Granulation tissue, if present, is removed.
Locations(1)
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NCT07547241