{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T23:35:34Z","timestamp":1792020934264,"version":"4.4.0"},"reference-count":24,"publisher":"MDPI AG","issue":"13","license":[{"start":{"date-parts":[[2022,6,25]],"date-time":"2022-06-25T00:00:00Z","timestamp":1656115200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>The Winograd technique is a common surgical treatment for ingrown toenails. Attempting to improve the results of this technique, two modifications were adopted: the incisional approach and the use of adhesive approximation strips. This study aimed to compare the conventional technique and the modified version based on (i) postoperative complications, (ii) healing time, (iii) recurrence rate, and (iv) overall patient satisfaction. A longitudinal, observational, and retrospective design was used, with a sample of 208 patients divided into the modified Winograd technique (n = 111) and the conventional Winograd technique (n = 97) in three clinics in Portugal, with follow-up periods of more than 15 years and 10 years, respectively. The modifications to the Winograd technique revealed fewer postsurgical complications, in terms of infections (1.8% vs. 20.62%, p &lt; 0.010), recurrence rate (2.7% vs. 5.21%, p &gt; 0.05), shorter recovery time (8.10 \u00b1 0.76 vs. 14.51 \u00b1 3.48 days, p &lt; 0.001), and lower postoperative pain and better satisfaction with the functional and esthetic results, with the patient\u2019s overall satisfaction, and with significant differences in relation to the conventional technique (p &lt; 0.001). The modifications performed showed a lower rate of infection, decreased healing time, and better patient satisfaction, suggesting that it may be adopted in clinical practice for the treatment of stages II and III ingrown toenails.<\/jats:p>","DOI":"10.3390\/ijerph19137818","type":"journal-article","created":{"date-parts":[[2022,6,26]],"date-time":"2022-06-26T09:00:13Z","timestamp":1656234013000},"page":"7818","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["The Modified versus the Conventional Winograd Technique for the Treatment of Onychocryptosis: A Retrospective Study"],"prefix":"10.3390","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0395-5032","authenticated-orcid":false,"given":"Fl\u00e1vio","family":"Oliveira","sequence":"first","affiliation":[{"name":"Escola Superior de Sa\u00fade da Cruz Vermelha Portuguesa, 1300-125 Lisbon, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joaqu\u00edn O.","family":"Izquierdo-Cases","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences, Universidad Cat\u00f3lica San Antonio de Murcia, 30107 Murcia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5536-2509","authenticated-orcid":false,"given":"Alfonso","family":"Mart\u00ednez-Nova","sequence":"additional","affiliation":[{"name":"Department of Nursing, Universidad de Extremadura, 10003 Caceres, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elena","family":"Contreras-Barrag\u00e1n","sequence":"additional","affiliation":[{"name":"Private Practice, Calle Manuel S\u00e1nchez, 21006 Huelva, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5708-4178","authenticated-orcid":false,"given":"Pedro V.","family":"Munuera-Mart\u00ednez","sequence":"additional","affiliation":[{"name":"Department of Podiatry, University of Seville, 41009 Seville, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,6,25]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"832","DOI":"10.1016\/j.jpedsurg.2017.01.029","article-title":"Nonrandomized assessment of ingrown toenails treated with excision of skinfold rather than toenail (NAILTEST): An observational study of the Vandenbos procedure","volume":"52","author":"Livingston","year":"2017","journal-title":"J. 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Foot Ankle Surg."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/13\/7818\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T23:38:27Z","timestamp":1760139507000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/13\/7818"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6,25]]},"references-count":24,"journal-issue":{"issue":"13","published-online":{"date-parts":[[2022,7]]}},"alternative-id":["ijerph19137818"],"URL":"https:\/\/doi.org\/10.3390\/ijerph19137818","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,6,25]]}}}