This retrospective study analyzed marginal toenail ablation for ingrowing toenails and the factors affecting recurrences. Recurrence was defined as a return of the previous symptoms, regrowth of the nail edge, or patient dissatisfaction with the clinical outcome. Based on these criteria, nine patients (10.7%) were considered to have had a failed operation. There were significant differences for recurrence rate (p < .05) in the patients operated on under local anesthesia and in previously treated patients. Full exposure and excision of the germinal matrix were essential to avoid recurrence.
MurrayWR: Onychocryptosis, principles of non-operative and operative care. Clin. Orthop. 142:96–102, 1979.
9.
PearsonHJ: Ingrowing toenails: is there a nail abnormality. J. Bone Joint Surg. 69-B:840–842, 1987.
10.
RalphMA: Radical excision of the nailfold for ingrowing toenail. J. Bone Joint Surg. 66-B:63–65, 1984.
11.
RufliTh: Congenital hypertrophy of the lateral nail folds of the hallux. Dermatology184:296–297, 1992.
12.
SandersM: Marginal toe nail ablation. In: KennethAJ, ed, The Foot and Ankle, Master Techniques in Orthopedic Surgery, Philadelphia, Lippincott Williams & Wilkins, 1994, pp. 3–21.
SykesPA: Management of ingrowing toenail. Br. J. Surg. 77:117, 1990.
15.
Van der HamAC: The treatment of ingrowing toenails. A randomised comparison of wedge excision and phenol cauterisation. J. Bone Joint Surg. 72-B:507–509, 1990.
16.
WatkinDF: Management of ingrowing toenail. Br. J. Surg. 76:1353, 1989.
17.
ZadikFR: Obliteration of the nail bed of the great toe without shortening the terminal phalanx. J. Bone Joint Surg. 32-B: 66–67, 1950.