Altering Toenail Biomechanic in Managing Ingrown Toenail.

Not Applicable

Completed

• Conditions: Ingrown Toenail
• Interventions: Procedure: Wedge toenail resection; Procedure: Central toenail resection

• Registration Number: NCT03732313
• Lead Sponsor: Zagazig University

Brief Summary

Ingrown toenail is commonly met in clinical practice.treatment may be non-operative and operative treatment.operative trestment depends on lateral wedge resection of the nail. The idea is to change toenail biomechanics by central toenail resection.

Detailed Description

The aim of this study is to compare between central toenail resection with ordinary lateral wedge resection in managing ingrown toenail. This study was performed on 100 patients divided into 2 groupd each is 50 patients. Group A underwent central resection while group B underwent lateral toenail resection.

Study Timeline

• Study Start: 2017-01-01
• Primary Completion: 2018-01-01
• Study Completion: 2018-07-01
• Study First Submitted: 2018-10-27
• Status Verified: 2018-11
• Study First Submitted QC: 2018-11-02
• Last Update Submitted: 2018-11-02
• Study First Posted: 2018-11-06
• Last Update Posted: 2018-11-06

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 10

Inclusion Criteria

• patient with ingrown toenail
• Patients from 10 years up to 35 years

Exclusion Criteria

• patients with concurrent toe deformity
• patients less than 10 years or more than 35 years

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
wedge toenail resection	Wedge toenail resection	Under local ring anaesthesiausing xylocaine injection around the base of big toe. Resect lateral wedge of toenail with removal of ingrown toenail and periungual skin. The wound is then sutured.
Central toenail resection	Central toenail resection	Under local ring anaesthesua using xylocaine injection in base of big toe ,Surgical resection of the central part of toenail with underlying germinal matrix.the defect is sutures by prolene.

Primary Outcome Measures

Name	Time	Method
Postoperative pain on visual analog score for pain	six month	All patients are pain free after 5 days postoperative
Intraoperative time measured in minutes	Six month	All operations end within 15 minutes.

Secondary Outcome Measures

Name	Time	Method
Recurrence after operation	six month	Recurrence is followed up by asking the patient to follow up in outpatient clinic after six month and also,by calling the patients in telephone.