title: Cosmetic results of wedge resection of nail matrix (Winograd technique) in the treatment of ingrown toenail.
abstract: OBJECTIVE
  The purpose of this retrospective study is to evaluate the cosmetic results of wedge resection of the nail matrix (Winograd technique) in the treatment of ingrown toenail.
  
  
  METHODS
  This study retrospectively reviewed medical charts of 68 patients with 75 ingrown toenails who underwent surgical correction with the Winograd technique between January, 2008, and December, 2009, at the Orthopaedics and Traumatology Department, Antalya Education and Research Hospital. For the final follow-up, patients were contacted by telephone and completed a telephone questionnaire. Recurrence, cosmetic results, and satisfaction of the patients were the major outcome measures.
  
  
  RESULTS
  There was recurrence in 9 patients (13.2%). The mean recurrence time was 6.7 months (range = 2-12 months). All recurrences involved the lateral border of the toenail. Cosmetic ratings were statistically lower in female patients (P = .005). The reasons for poor and acceptable cosmetic results were proximal-incision scar and narrowing of the nail plate.
  
  
  CONCLUSIONS
  Wedge resection of nail matrix has a considerably high recurrence rate. Furthermore, narrowing of the nail plate is a disadvantage of this procedure. All patients should be informed about the possibility of recurrence and disfigurement in their toenails (narrow nail plate). Particularly, female patients who care about the cosmesis may be dissatisfied with this surgical technique.
authors.affiliation: The Orthopaedics and Traumatology Department, Antalya Education and Research Hospital, Antalya, Turkey. drozkankose@hotmail.com
authors.forename: Ozkan
authors.initials: O
authors.lastname: Kose
authors.forename: Ferhat
authors.initials: F
authors.lastname: Guler
authors.forename: Serkan
authors.initials: S
authors.lastname: Gurcan
authors.forename: Hasan Onur
authors.initials: HO
authors.lastname: Arik
authors.forename: Ali Bulent
authors.initials: AB
authors.lastname: Baz
authors.forename: Serdar
authors.initials: S
authors.lastname: Akalin
mesh_terms: D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009262:Nails / Q000601:surgery*; D009263:Nails, Ingrown / Q000601:surgery*; D017060:Patient Satisfaction; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D055815:Young Adult