Results of ingrown toenails treated with modified Winograd technique using lateral edge inversion modification.

Abstract

Background: Ingrown toenail is a common condition, especially among young individuals, characterized by pain, swelling, redness, and infection. Surgical intervention is often required in stage II and III cases, with the Modified Winograd (MW) technique being the most widely used. Nevertheless, recurrence and infection remain notable concerns.

Purpose: To assess whether lateral edge inversion modification added to the MW technique reduces recurrence rates.

Study design: Retrospective comparative observational study.

Methods: A total of 341 patients treated between January and November 2023 were analyzed. Group 1 (n = 96) underwent MW with lateral edge inversion, while Group 2 (n = 245) underwent MW alone. Demographics, surgical time, infection rates, recurrence, and recovery were compared.

Results: The mean age was 25.2 years, with 223 males and 118 females. Surgical time was comparable between groups. Early infection occurred in 4.16 % of Group 1 and 6.53 % of Group 2 (p > 0.05). Recurrence was observed in 10 patients in Group 2 but none in Group 1 (p < 0.05), indicating a significant reduction with lateral edge inversion.

Conclusion: Lateral edge inversion modification is a simple and effective addition to the MW technique, significantly reducing recurrence rates in the treatment of ingrown toenails.