Medicinski vjesnik, Vol. 25 No. (3-4), 1993.
Stručni rad
The treatment of ingrowing toenails
Josip Fajdić
Damir Hodžić
Željko Glavić
Antun Rukavina
Tomislav Vuković
Ljubo Begić
Dujo Gverić
Draško Balvanović
Damir Simleša
Drago Gašpar
Srećko Šabalić
Sažetak
In this article we have analysed 564 patients operated on because of ingrowing toenails at the Surgical Department of the County General Hospital in Požega in the period from 1982 to 1994. There were 424 (75.2%) male and 140 (24.8%) female patients aged from 18 to 77 years (the average age was 47 years). Nails were ingrown on one toe-thumb only in 512 (90.8%) patients and on both toe-thumbs in 52 (9.2%). All the patients were treated ambulatory n local anesthesia by the method of wedge excision. Depending on progression of the process, 1/4 up to 1/3 of an ingrown toenail was surgically removed. Infection was suppressed preoperatively by antiseptic baths. Postoperatively, we found 148 (26.2%) patients with infections and 2 (0.4%) cases of osteomyelitis. Due to a relapse, 55 (9.8%) patients were reoperated on. It may be interesting to emphasize a statistically significant (x2 = 9.078; p< 0.01) part of the diabetics in the group of relapsed cases (21.8%) as compared to the cases with postoperative infections (6.1%). Finally, we can excel wedge excision as a wery effective method in the treatment of ingrowing toenails in our conditions, which can be recommended to other practitioners, as well.
Ključne riječi
ingrowing toenail; treatment; wedge excision
Hrčak ID:
194727
URI
Datum izdavanja:
1.12.1993.
Posjeta: 3.990 *