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Ingrown toenail is a very common disease in the general population that touches young adults. There are lots of treatments from local care of pedicure to surgery with matricectomy. Gold standard of symptomatic and painful ingrown toenail is the simple surgery with matricectomy and with suture or directed healing pad.
For many years chemical cauterisation with phenolic acid is used, a method with very few relapses and with a more simple pad. However, because of a lack of information about this phenolic acid, the pharmaceutical laboratory withdrew it from the market.
The new method to replace phenolic acid is trichloroacetic acid, used mainly in cosmetics for peeling. This method was already compared to phenolic acid and showed equal results with fewer laps of application and a low cost. The comparison between acid trichloroacetic method and the gold standard surgery was never done and will be the goal of this study.
It's an open, non randomised, comparative, multicentric (2 centers) study with two groups : common surgery and surgery with chemical cauterisation For this study the investigators will compare between the two groups : gain of quality of life at one month after surgery, difference of pain between before, one week and one month after surgery, the occurrence of adverse events and number of relapses at one year.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dermatologic intervention | Experimental | Surgery with chemical cauterisation TCA |
|
| Orthopedic intervention | Active Comparator | Only surgery |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ingrown toenails with surgery with chemical cauterisation | Procedure | Removal of the ingrown lateral part of the toenail and chemical cauterisation |
|
| Measure | Description | Time Frame |
|---|---|---|
| Relapses | Relapses of ingrown toenail on the operated nail | one year |
| Measure | Description | Time Frame |
|---|---|---|
| Gain of quality of life | Quality of life will be measured with the Dermatology Life Quality Index adapted to the nail, there are 9 questions that will be filled by the patient. Each questions have 4 possibilities to 0 (no problem) to 3(hugely). So the score go to 0 to 27. Questions are, on last 7 days :
|
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| GASLAIN NICOLAS | Contact | 0231272510 | gaslain-n@chu-caen.fr | |
| Pr DOMPMARTIN ANNE | Contact | dompmartin-a@chu-caen.fr |
| Name | Affiliation | Role |
|---|---|---|
| Pr DOMPMARTIN ANNE | University Hospital, Caen | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Centre hospitalier universitaire de CAEN | Recruiting | Caen | Normandy | 14000 | France |
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| ID | Term |
|---|---|
| D012008 | Recurrence |
| D010149 | Pain, Postoperative |
| D009263 | Nails, Ingrown |
| ID | Term |
|---|---|
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D011183 | Postoperative Complications |
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| ID | Term |
|---|---|
| D013514 | Surgical Procedures, Operative |
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| Ingrown toenails with only surgery | Procedure | Removal of the ingrown lateral part of the toenail with directed Healing pad |
|
| Baseline and one month after the surgery |
| Complications | Bleeding, infection, pain | At one week and one month after surgery |
| Pain on the nail | Pain report on a numeric scale of pain to 0 (no pain) to 10(worst pain possible) | Baseline, one week and one month after surgery |
| Time before restart sport | Time to recover a normal physical activity | Restart sport at one month yes/no |
| Centre hospitalier Mémorial France Etats Unis | Recruiting | Saint-Lô | Normandy | 50000 | France |
|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D009260 | Nail Diseases |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |