Spiculectomy and Orthonyxia for Ingrown Toenails

NewsBot · Jul 13, 2022

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Spiculectomy and Orthonyxia for Ingrown Toenails in
Patients at Risk; Prospective Observational Cohort Study
Rosien et al
Foot Ankle Stud - Volume 3 Issue 1 - 2021

Background: Ingrown toenails (unguis incarnatus) are common in persons
with Diabetes Mellitus (DM) and Peripheral Arterial Disease (PAD). Minimal
invasive treatment of ingrown toenails with spiculectomy and/or orthonyxia
might be a promising treatment option.
Aim: The aim of this study was to evaluate the efficacy and safety of minimal
invasive treatment spiculectomy and orthonyxia
Design/Setting: Prospective observational cohort study in an outpatient
podiatric clinic
Method: Eighty-eight patients with unguis incarnatus were included. Primary
outcomes were post-procedural complication rate (infection and hemorrhage),
and duration of pain. Patient satisfaction during and after treatment procedure
was evaluated.
Results: Healing was achieved in 80/88 (90.9%) persons; non-DM group
28/32 (87.5%) vs DM group 51/56 (91.1%); median healing time (21 [14, 42]
days) and median treatment time; (56 [30, 86] days) were comparable between
the non-DM and the DM groups. (Sixty-four patients (72.7%) had a significant
pain reduction within 0-2 days. Median reduction of the VAS score after the
first treatment was 2.0 points [0.0, 6.0] (non-DM group 3.5[1.0, 6.0]; DM group
2.0[0.0, 5.0] (p=0.0117)). Forty-eight (94, 4%) patients, 31(96.9%) non-DM
group vs 53(94.6%) DM group (p=0.534)) had no limitations in daily activities by
the affected toe after 14 days. There were no treatment-related complications
like bleeding or infection.
Conclusion: Spiculectomy and orthonyxia resulted in a high patient
satisfaction. Five of 88 patients needed referral for a partial nail resection.
This treatment seems to be very suiTable for persons with a high risk for foot
ulcerations.
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NewsBot · Jul 13, 2022

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