title: Results of partial matrixectomy for chronic ingrown toenail.
abstract: BACKGROUND
  Several treatment modalities which targeted partial matrixectomies, including chemical, laser matrixectomy, and partial nail avulsion, have been used in the dermatology, podiatry, and orthopaedic literature. We report our experience with surgical matrixectomy.
  
  
  METHODS
  We treated 224 patients with severe ingrowing toenails. Segmental wedge resection of involved margin was performed. Followup time was a minimum of 10 months.
  
  
  RESULTS
  Statistical analysis of recurrence and disease parameters such as stage of disease, infection, involved margin, previous surgery, followup time, and age showed no significant correlation (p>0.05). Twenty-two patients (9.8%) had a recurrence. Revision surgery was performed in 16 patients (7.1%).
  
  
  CONCLUSIONS
  We recommend the Winograd technique with a few modifications especially for severe Stage 2 and 3 cases. Both loupe magnification and observation of soft tissue in the postoperative period were important details.
authors.affiliation: C Hand Microsurgery Orthopaedic Traumatology (EMOT) Hospital, 1418 sok. No: 14, Kahramanlar, Izmir, Turkey. elmikro2003@yahoo.com
authors.forename: Murat
authors.initials: M
authors.lastname: Kayalar
authors.forename: Emin
authors.initials: E
authors.lastname: Bal
authors.forename: Tulgar
authors.initials: T
authors.lastname: Toros
authors.forename: Kemal
authors.initials: K
authors.lastname: Ozaksar
authors.forename: Yusuf
authors.initials: Y
authors.lastname: Gürbüz
authors.forename: Yalçin
authors.initials: Y
authors.lastname: Ademoğlu
mesh_terms: D000293:Adolescent; D000328:Adult; D002908:Chronic Disease; D005260:Female; D006214:Hallux; D006801:Humans; D008297:Male; D008875:Middle Aged; D009263:Nails, Ingrown / Q000601:surgery*; D019637:Orthopedic Procedures / Q000379:methods; D012008:Recurrence; D012086:Reoperation; D012189:Retrospective Studies; D055815:Young Adult