ABSTRACT
The onychocryptosis, also known as ingrown toe-nails, is a painful, common disorder
which is less common in children than in adults. The purpose of the present study
was to focus on the effect of electrocautery matricectomy on recurrence rate and clinical
outcomes in different age groups. We performed a retrospective assessment of 189 consecutive
ingrown toe-nails surgeries. Electrocautery matricectomy was performed in 68 (49.2%)
of 138 (73%) adults, 25 (49%) of 51 (27%) adolescents. Recurrence was observed in
11 (21.5%) adolescent patients, while recurrence was observed in 12 (8.6%) adult patients.
Recurrence was observed in 9 (9.6%) of 93 patients in whom cautery was used, while
14 (14.5%) recurrences were observed in 96 patients who did not use cautery. When
the adolescent patient group was evaluated separately, recurrence was observed in
2 (8%) of 25 patients in the cautery group, while recurrence was observed in 9 (34.6%)
of 26 patients in the other group. EM addition to the wedge excision does not affect
the results in adult patients, but it significantly reduces recurrence in adolescent
patients. Especially in younger patients, it is recommended to complete the matricectomy
with electrocoagulation.
Level of Clinical Evidence
Keywords
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Article info
Publication history
Published online: August 14, 2022
Footnotes
Financial Disclosure: None reported.
Conflict of Interest: None reported.
Identification
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© 2022 by the American College of Foot and Ankle Surgeons. All rights reserved.
