ALTERING TOENAIL BIOMECHANIC IN MANAGING INGROWN TOENAIL. RANDOMIZED CONTROLLED CLINICAL TRIAL

Introduction: ingrown toenail is commonly met in clinical practice especially in adolescent. However, there are few literatures on managing this problem regarding the change of biomechanic of toe. The aim of this study is to determine the effect of central resection of toenail on changing toe biomechanic in dealing with ingrown toenail as regard easy technique, rapid resolution of the problem, post-technique pain and recurrence rate. Aim: to compare between central toenail resection with ordinary lateral wedge toenail resection in managing ingrown toenail as regard technique duration (in minutes), postoperative pain (according to visual analogue scale of pain) and postoperative recurrence rate. Method: one hundred Patients in a representative sample in general surgery department faculty of medicine zagazig university, Egypt, from January 2016 to June 2017 who had ingrown toenail. These patients are divided into 2 groups: group (A): underwent central toenail resection and group (B): underwent wedge toenail resection at the side of the affected toe. Treatment is prescribed and outcome at one month, two month and 18 month after management were analyzed. Result: in group (A): There is a significant shorter operative time, shorter hospital stay, better postoperative outcome as regard pain and no recurrence, after 18 month follow up period. Conclusion: Ingrown toenail is best be treated by central nail resection as it is simple surgical technique with no significant complications.