title: A new and simple suturing technique applied after surgery to correct ingrown toenails may improve clinical outcomes: A randomized controlled trial.
abstract: BACKGROUND
  In the present study, we investigated the efficacy of a new suturing technique applied after the Winograd procedure has been completed.
  
  
  METHODS
  This study was prospective, randomized, and controlled. In total, 128 patients were recruited and divided into two groups. The outcomes of those treated with the new suturing technique (group I) were compared with those of patients treated with the traditional suturing technique (group II), both of which were applied after the Winograd procedure had been completed. The clinical outcomes and recurrence rates of the two groups were compared.
  
  
  RESULTS
  Patients in group I required significantly more time to return to work or school than did those in group II (p = 0.015). We found no significant difference between youths (age < 18 years, n = 55) and adults (age ≥ 19 years, n = 69) in this context (p = 0.161). The recurrence rate was significantly higher in group II than in group I (p = 0.011). The extent of satisfaction was significantly higher in group I (p = 0.042).
  
  
  CONCLUSIONS
  Our new suturing technique is associated with lower recurrence and higher satisfaction rates. However, the times elapsing before shoes could be worn were similar in the two groups.
authors: Orthopaedics and Traumatology, Erciş State Hospital, Van, Turkey. Electronic address: esatuygur@gmail.com.
authors: Esat
authors: E
authors: Uygur
authors: Orthopaedics and Traumatology, Erciş State Hospital, Van, Turkey. Electronic address: drengincarkci@hotmail.com.
authors: Engin
authors: E
authors: Çarkçi
authors: Orthopaedics and Traumatology, İstanbul Training and Research Hospital, İstanbul, Turkey. Electronic address: ahmetsenel23@gmail.com.
authors: Ahmet
authors: A
authors: Şenel
authors: Orthopaedics and Traumatology, Goztepe Training and Research Hospital, İstanbul, Turkey. Electronic address: bahattinkemah.md@gmail.com.
authors: Bahattin
authors: B
authors: Kemah
authors: Orthopaedics and Traumatology, Düzce University Hospital, Düzce, Turkey. Electronic address: yturhan_2000@yahoo.com.
authors: Yalçın
authors: Y
authors: Turhan
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009263:Nails, Ingrown / Q000601:surgery*; D011446:Prospective Studies; D012008:Recurrence; D013536:Suture Techniques; D016896:Treatment Outcome
keywords: Ingrown toenails; Onychocryptosis; Operative treatment; Recurrence; Suturing technique