Winograd楔形切除基质切除术与化学烧灼法部分指甲剥离术:一家三级医疗机构的临床结果和建议的分流方案。

IF 0.5 4区 医学 Q4 ORTHOPEDICS
Seng Juong Wong, Marabelle Li-Wen Heng, Siew-Keong Kwok, Kevin O T Koo, Nicholas E M Yeo
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引用次数: 0

摘要

背景:趾甲内生或嵌甲是一种常见病,影响不同年龄段的患者,但通常是年轻患者:方法:我们比较了本院使用的两种技术:方法:我们比较了本院采用的两种技术:Winograd楔形切除加基质切除术(WG-M)与部分甲剥离加甲基质苯酚化术(PNA-P):主要结果是指甲是否再生以及患者术后的满意度。次要结果是术后疼痛(头两周内和两周后)、术后炎症和愈合时间。共有 65 名患者参与了这项研究:44名患者(19名女性和25名男性)在骨外科接受了WG-M手术,平均年龄为45.7岁(16-83岁);21名患者(10名女性和11名男性)在足科接受了PNA-P手术,平均年龄为44.5岁(13-75岁)。在接受 WG-M 治疗的患者中,有一例再生病例(2.3%),而在接受 PNA-P 治疗的患者中,没有再生病例(0%)。两种手术的再生率没有明显差异(P = .494)。两种手术的满意度都很高:WG-M组患者的满意度为100%,而PNA-P组患者的满意度为95.7%:通过研究,我们得出结论:两种技术(WG-M 和 PNA-P)都能达到相似的临床效果,其中 PNA-P 手术创伤更小、资源消耗更少,而且愈合时间更短。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Winograd Wedge Resection Matrixectomy versus Partial Nail Avulsion with Chemical Cautery: A Tertiary Institution's Clinical Outcomes and Proposed Triaging Protocol.

Background: Onychocryptosis, or ingrown toenail, is a common condition affecting patients of varying age groups, although usually, younger patients are affected.

Methods: We compared two techniques used in our institution: Winograd wedge resection with matrixectomy (WG-M) versus partial nail avulsion with phenolization of the nail matrix (PNA-P).

Results: Primary outcomes of interest were presence of nail regrowth and patient satisfaction postoperatively. Secondary outcomes were postoperative pain (within the first 2 weeks and after 2 weeks), postoperative inflammation, and healing time. A total of 65 patients were included in this study: 44 patients (19 female and 25 male patients), with a mean age of 45.7 years (range, 16-83 years) underwent WG-M in the orthopedic surgery department, whereas a total of 21 patients (10 female and 11 male patients), with a mean age of 44.5 years (range, 13 to 75 years) underwent PNA-P in the podiatry department. In patients who underwent WG-M, there was one case of regrowth (2.3%) compared with no regrowth cases (0%) in the PNA-P group. There was no significant difference in regrowth rate between the two procedures (P = .494). The satisfaction rate was high for both procedures: 100% patients in the WG-M group rated themselves better than before surgery, compared with 95.7% in the PNA-P group.

Conclusions: From our study, we conclude that both techniques (WG-M and PNA-P) are able to achieve similar clinical outcomes, with the PNA-P procedure being less invasive and less resource intensive, and also achieving a shorter healing time.

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来源期刊
CiteScore
1.10
自引率
0.00%
发文量
128
审稿时长
6-12 weeks
期刊介绍: The Journal of the American Podiatric Medical Association, the official journal of the Association, is the oldest and most frequently cited peer-reviewed journal in the profession of foot and ankle medicine. Founded in 1907 and appearing 6 times per year, it publishes research studies, case reports, literature reviews, special communications, clinical correspondence, letters to the editor, book reviews, and various other types of submissions. The Journal is included in major indexing and abstracting services for biomedical literature.
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