A survey of the treatment and management of ingrown toenails by UK podiatrists: A cross-sectional survey.

IF 2.5 3区医学 Q1 ORTHOPEDICS

Journal of Foot and Ankle Research Pub Date : 2024-06-01 DOI:10.1002/jfa2.12017

Victoria Exley, Katherine Jones, Judith Watson, Michael Backhouse

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引用次数: 0

Abstract

Background: Ingrown toenails are a common pathology. Although a range of conservative and surgical measures are widely used for this condition, little is known about their use in practice. This study explored current practice relating to the treatment or management of ingrown toenails by podiatrists in the UK.

Methods: A cross-sectional online survey (Qualtrics, Provo, UT, USA) conducted between March to June 2020 was distributed to practicing podiatrists treating or managing ingrown toenails in the UK.

Results: A total of 396 practicing podiatrists responded (60.1% based in the private sector). The majority (88.6%) performed nail surgery most commonly (54.3%) less than five a month. Nearly all (95%) only performed nail avulsion with or without chemical matrixectomy, universally using phenol (97.2%). Application time and number of applications varied but was most commonly applied three times (61.5%) for a total of 3 minutes (75%). Aftercare varied considerably between public and private sectors, with public sectors offering fewer follow-up appointments.

Conclusions: Although there is a variation in clinical practice throughout the treatment pathway, almost all respondents offered nail avulsion with phenol matrixectomy, whereas very few provided incisional nail surgery. This data provides the most comprehensive description of how UK podiatrists conduct nail surgery for onychocryptosis.

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英国足科医生对嵌甲治疗和管理的调查：横断面调查。

背景：脚趾甲内生是一种常见的病理现象。虽然一系列保守和手术措施被广泛用于治疗这种病症，但人们对这些措施在实践中的应用却知之甚少。本研究探讨了英国足科医生在治疗或管理嵌甲方面的现行做法：在 2020 年 3 月至 6 月期间进行了一项横断面在线调查（Qualtrics，美国犹他州普罗沃市），调查对象为英国治疗或处理嵌甲的执业足科医生：共有 396 名执业足病医生做出了回复（60.1% 的医生来自私营部门）。大多数人（88.6%）都做过指甲手术，其中最常见的是（54.3%）每月少于五次。几乎所有的医生（95%）都只做过有或没有化学基质切除术的甲剥离，普遍使用苯酚（97.2%）。使用时间和次数各不相同，但最常见的是使用三次（61.5%），共用 3 分钟（75%）。公私部门的术后护理差别很大，公私部门提供的复诊预约较少：尽管在整个治疗过程中临床实践存在差异，但几乎所有受访者都提供了甲剥离和苯酚基质切除术，而提供甲切开手术的受访者则寥寥无几。这些数据最全面地描述了英国足科医生如何为甲沟炎患者实施指甲手术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Foot and Ankle Research ORTHOPEDICS-

CiteScore

4.50

自引率

10.30%

发文量

审稿时长

>12 weeks

期刊介绍： Journal of Foot and Ankle Research, the official journal of the Australian Podiatry Association and The College of Podiatry (UK), is an open access journal that encompasses all aspects of policy, organisation, delivery and clinical practice related to the assessment, diagnosis, prevention and management of foot and ankle disorders. Journal of Foot and Ankle Research covers a wide range of clinical subject areas, including diabetology, paediatrics, sports medicine, gerontology and geriatrics, foot surgery, physical therapy, dermatology, wound management, radiology, biomechanics and bioengineering, orthotics and prosthetics, as well the broad areas of epidemiology, policy, organisation and delivery of services related to foot and ankle care. The journal encourages submissions from all health professionals who manage lower limb conditions, including podiatrists, nurses, physical therapists and physiotherapists, orthopaedists, manual therapists, medical specialists and general medical practitioners, as well as health service researchers concerned with foot and ankle care. The Australian Podiatry Association and the College of Podiatry (UK) have reserve funds to cover the article-processing charge for manuscripts submitted by its members. Society members can email the appropriate contact at Australian Podiatry Association or The College of Podiatry to obtain the corresponding code to enter on submission.