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Ingrown toenail is commonly met in clinical practice.treatment may be non-operative and operative treatment.operative trestment depends on lateral wedge resection of the nail. The idea is to change toenail biomechanics by central toenail resection.
The aim of this study is to compare between central toenail resection with ordinary lateral wedge resection in managing ingrown toenail. This study was performed on 100 patients divided into 2 groupd each is 50 patients. Group A underwent central resection while group B underwent lateral toenail resection.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Central toenail resection | Active Comparator | Under local ring anaesthesua using xylocaine injection in base of big toe ,Surgical resection of the central part of toenail with underlying germinal matrix.the defect is sutures by prolene. |
|
| wedge toenail resection | Active Comparator | Under local ring anaesthesiausing xylocaine injection around the base of big toe. Resect lateral wedge of toenail with removal of ingrown toenail and periungual skin. The wound is then sutured. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Central toenail resection | Procedure | Using local aneasthesia, resection of central part of toenail with germinal matrix. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Postoperative pain on visual analog score for pain | All patients are pain free after 5 days postoperative | six month |
| Intraoperative time measured in minutes | All operations end within 15 minutes. | Six month |
| Measure | Description | Time Frame |
|---|---|---|
| Recurrence after operation | Recurrence is followed up by asking the patient to follow up in outpatient clinic after six month and also,by calling the patients in telephone. | six month |
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Inclusion Criteria:
Exclusion Criteria:
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| ID | Term |
|---|---|
| D009263 | Nails, Ingrown |
| D012008 | Recurrence |
| ID | Term |
|---|---|
| D009260 | Nail Diseases |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D020969 | Disease Attributes |
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| Wedge toenail resection | Procedure | Using local anaesthesia,we remove lateral part of toenail . |
|
|
| D010335 |
| Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |