A.WINOGRAD SURGERY FOR INGROWN NAILS IN CHILDREN

Abstract

Purpose of the study is to improve the results of surgical treatment of the ingrown nail according to the A.Winograd method.Material and methods. We compared the results of the treatment of ingrown nail by the A.Winograd method with the incision of the posterior nail cushion and mechanical destruction of the germinative matrix (25 patients) and without the incision of the posterior nail cushion, but using Volkmann’s pre-sharp spoon to perform a better growth zone cureting (27 patients).Conclusions. A.Winograd surgery in the classic version is an effective way of treating an ingrown nail, but with careful curettage of the growth zone of the removed part of the nail plate. The use of a pre-sharpened Volkmann spoon allows you to perform this operation less traumatically - without cutting the posterior nail cushion, but more radically. This reduces the recovery time from14.3±4.7 days to 9.2±1.5 and reduces the rate of relapses (2 in the main group and 0 in the comparison group). This type of surgery, according to the authors, is indicated to patients with a second and partially with a third degree of ingrown nail according to the C.J. Heifetz classification.