Original Article
Improved outcomes of a modified suture technique applied after nail fold and partial nail bed excision
Xiaoqiang Zhu, Zhengni Liu, Wei Zhu, Rui Tang
Published 2018-12-10
Cite as Chin J Hand Surg, 2018, 34(6): 426-428. DOI: 10.3760/cma.j.issn.1005-054X.2018.06.010
Abstract
ObjectiveTo evaluate the effect of the modified suture technique applied after nail fold and partial nail bed excision for the treatment of ingrown toenails.
MethodsFrom July 2014 to December 2016, 96 cases of ingrown toenails were performed with nail fold and partial nail bed excision. The modified suture technique was used in 46 cases (study group) and the traditional suture technique was used in 50 cases (control group). Postoperative pain, bleeding, infection, recurrence, the recovery time of normal walking and wound healing time were observed and compared.
ResultsAfter operation, 91 patients were follow-up for 9 to 16 months with an average of 12. 3 months, while 5 cases were lost. The level of postoperative pain, bleeding, recovery time of normal walking and wound healing time from the study group were lower than those from the control group, and the differences were statistically significant (P<0. 05). There was no statistical difference in either postoperative infection or recurrence rate between the two groups (P>0. 05).
ConclusionThe improved suture technique can improve the postoperative pain and bleeding for the patients performed with nail fold and partial nail bed excision, shorten the recovery time of normal walking and the wound healing time, but it will not increase the rate of postoperative infection and recurrence.
Key words:
Nails, ingrown; Surgical procedures, operative; Suture techniques
Contributor Information
Xiaoqiang Zhu
Department of Hernia and Abdominal Wall Surgery, Shanghai East Hospital, Shanghai 200120, China
Zhengni Liu
Wei Zhu
Rui Tang
趾最为常见，好发于青少年，男性多于女性［2,3］。嵌甲症的治疗有多种方法，最常用的是甲皱襞+部分甲床切除术，术后治疗效果良好［4］。但传统的缝合方式导致的半开放创面使得患者在术后换药时因疼痛和出血而抱怨不断，并且术后伤口愈合时间也较长。为解决这一不足，我们采用改良缝合方式关闭甲皱襞和部分甲床切除后的创面，术后取得了较满意的疗效。自2014年7月至2016年12月，我们对96例嵌甲患者进行甲皱襞和部分甲床切除术，其中46例（研究组）采用改良缝合，50例（对照组）采用传统缝合。术后观察比较疼痛、出血、感染、恢复正常行走时间、愈合时间及复发等各项指标，评价改良缝合方式对治疗效果和患者满意度的影响。
