Journal of Clinical and Experimental Investigations

Abstract

Objectives: The aim of this study is to evaluate the risk factors and treatment outcomes of patients with ingrowing nails in an urban region.
Methods: This descriptive prospective study was performed in a General Surgery outpatient clinic in an urban region for 6 months. The data about sex, risk factors, age, history of previous medication were obtained. Body mass index, the ratio of second toe to the length of hallux, the ratio of the diameter of hallux to width of hallux nail were calculated. The ingrowing nails with stage II and III were treated by Winograd method. The patients were followed for recurrences and complications for nearly 6 months.
Results: Total 61 patients were treated. Female to male ratio was 33/28. The man age was 24.8±11.8. The mean BMI was 28.5±5.3. Tight shoes, improper nail trimming were the leading etiological factors. Total 44 patients had a history of at least one time antibiotic usage history. Symptoms were found to be increased after pregnancy (66.7%). Lateral localization was significantly higher in patients with longer second toe than the hallux. There were 5 postoperative infections (8.2%) and only one (1.6%) recurrence.
Conclusion: Ingrowing nail is an important problem because of increased risk factors in urban region. Winograd method which is an easy method with low recurrence and high patient satisfaction can be preferred.