Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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Gutter Splint for Ingrown Toe Nail in Young Patients

어린 환자에서 내향성 조갑증에 대한 조갑홈통 부목을 이용한 치료

  • Shin, Yong-Woon (Department of Orthopedic Surgery, Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Bae, Su-Young (Department of Orthopedic Surgery, Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Ahn, Sang Jun (Department of Orthopedic Surgery, Sanggye Paik Hospital, Inje University College of Medicine)
  • 신용운 (인제대학교 의과대학 상계백병원 정형외과학교실) ;
  • 배서영 (인제대학교 의과대학 상계백병원 정형외과학교실) ;
  • 안상준 (인제대학교 의과대학 상계백병원 정형외과학교실)
  • Received : 2018.07.09
  • Accepted : 2018.08.13
  • Published : 2018.09.15
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Abstract

Purpose: Ingrown toenails are a common disease in the adolescent period and the treatments could be more conservative for this early stage of the disease. This study is a case series on the results of a gutter splint for an adolescent ingrown toe nail as a simple, comfortable treatment method. Materials and Methods: From 2011 to 2018, 22 patients (mean age, 12.2 years; range, 8~15 years) with ingrown toenails were treated with a gutter splint. There were 16 boys and 6 girls with 7 patients on both great toes, and additional 4 both corners of a nail, giving a total of 33 splints. Flat, plastic straws and glue or suture were used to protect the nail corners under local anesthesia. The medical records were reviewed retrospectively and phone calls were made to obtain the long-term results. Results: Fifteen splints were fixed with a suture and the other 18 splints were fixed with glue. There were 9 cases of recurrence out of 33 gutter splints, 8 out of 15 sutured splints and 1 out of 18 glued splints (p=0.010). There was no gender (p=0.383) or age (p=0.305) difference in the number of recurrences. Conclusion: For growing people, ingrown nails can be cured easily by conservative treatment for a transiently shortened or broken toenail. The glued gutter splint had a reasonable success rate as a first line treatment.

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References

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