{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T16:14:42Z","timestamp":1787588082312,"version":"build-2736575974"},"reference-count":34,"publisher":"MDPI AG","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    Onychocryptosis, or ingrown toenail, is a common condition affecting patients of varying age groups, although usually, younger patients are affected.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Methods:<\/jats:bold>\n                    We compared two techniques used in our institution: Winograd wedge resection with matrixectomy (WG-M) versus partial nail avulsion with phenolization of the nail matrix (PNA-P).\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results:<\/jats:bold>\n                    Primary outcomes of interest were presence of nail regrowth and patient satisfaction postoperatively. Secondary outcomes were postoperative pain (within the first 2 weeks and after 2 weeks), postoperative inflammation, and healing time. A total of 65 patients were included in this study: 44 patients (19 female and 25 male patients), with a mean age of 45.7 years (range, 16\u201383 years) underwent WG-M in the orthopedic surgery department, whereas a total of 21 patients (10 female and 11 male patients), with a mean age of 44.5 years (range, 13 to 75 years) underwent PNA-P in the podiatry department. In patients who underwent WG-M, there was one case of regrowth (2.3%) compared with no regrowth cases (0%) in the PNA-P group. There was no significant difference in regrowth rate between the two procedures (\n                    <jats:italic>P<\/jats:italic>\n                    = .494). The satisfaction rate was high for both procedures: 100% patients in the WG-M group rated themselves better than before surgery, compared with 95.7% in the PNA-P group.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusions:<\/jats:bold>\n                    From our study, we conclude that both techniques (WG-M and PNA-P) are able to achieve similar clinical outcomes, with the PNA-P procedure being less invasive and less resource intensive, and also achieving a shorter healing time.\n                  <\/jats:p>","DOI":"10.7547\/22-108","type":"journal-article","created":{"date-parts":[[2024,3,4]],"date-time":"2024-03-04T12:30:21Z","timestamp":1709555421000},"source":"Crossref","is-referenced-by-count":1,"title":["Winograd Wedge Resection Matrixectomy versus Partial Nail Avulsion with Chemical Cautery: A Tertiary Institution\u2019s Clinical Outcomes and Proposed Triaging Protocol"],"prefix":"10.3390","volume":"114","author":[{"given":"Seng Juong","family":"Wong","sequence":"first","affiliation":[{"name":"Singapore General Hospital, Singapore."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marabelle Li-Wen","family":"Heng","sequence":"additional","affiliation":[{"name":"Singapore General Hospital, Singapore."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siew-Keong","family":"Kwok","sequence":"additional","affiliation":[{"name":"Singapore General Hospital, Singapore."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin O. T.","family":"Koo","sequence":"additional","affiliation":[{"name":"The Bone and Joint Centre, Mount Elizabeth Hospital, Singapore."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas E. M.","family":"Yeo","sequence":"additional","affiliation":[{"name":"Singapore General Hospital, Singapore."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","reference":[{"key":"B1","series-title":"JAPMA","first-page":"272","article-title":"Clinical and sociodemographic characteristics of ingrown nails in children","volume":"109","author":"Arica IE","year":"2019","unstructured":"Arica IE, Bostanci S, Ko\u00e7yigit P, et al: Clinical and sociodemographic characteristics of ingrown nails in children. JAPMA 109: 272, 2019."},{"key":"B2","series-title":"Dermatol Online J","first-page":"13030\/qt9985w2n0","article-title":"Review of onychocryptosis: epidemiology, pathogenesis, risk factors, diagnosis and treatment","volume":"25","author":"Geizhals S","year":"2019","unstructured":"Geizhals S, Lipner SR: Review of onychocryptosis: epidemiology, pathogenesis, risk factors, diagnosis and treatment. Dermatol Online J 25: 13030\/qt9985w2n0, 2019."},{"key":"B3","series-title":"Mo Med","first-page":"213","article-title":"Operative management of ingrown toenail","volume":"42","author":"Heifetz CJ","year":"1945","unstructured":"Heifetz CJ: Operative management of ingrown toenail. Mo Med 42: 213, 1945."},{"key":"B4","series-title":"Aust Fam Physician","first-page":"102","article-title":"Ingrown toenails: the role of the GP","volume":"44","author":"Bryant A","unstructured":"Bryant A, Knox A: Ingrown toenails: the role of the GP. Aust Fam Physician 44: 102, 2015."},{"key":"B5","series-title":"J Bone Joint Surg Br","first-page":"131","article-title":"The surgical treatment of ingrowing toenails","volume":"73","author":"Grieg JD","year":"1991","unstructured":"Grieg JD, Anderson JH, Ireland AJ, et al: The surgical treatment of ingrowing toenails. J Bone Joint Surg Br 73: 131, 1991."},{"key":"B6","series-title":"Am Fam Physician","first-page":"158","article-title":"Ingrown toenail management","volume":"100","author":"Mayeaux EJ Jr","year":"2019","unstructured":"Mayeaux EJ Jr, Carter C, Murphy TE: Ingrown toenail management. Am Fam Physician 100: 158, 2019."},{"key":"B7","series-title":"Clin Sports Med","first-page":"717","article-title":"Management of disorders of the forefoot and toenails associated with running","volume":"4","author":"Bordelon RL","year":"1985","unstructured":"Bordelon RL: Management of disorders of the forefoot and toenails associated with running. Clin Sports Med 4: 717, 1985."},{"key":"B8","series-title":"Dermatol Surg","first-page":"751","article-title":"Quality of life with ingrown toenails: a cross-sectional study","volume":"43","author":"Borges APP","year":"2017","unstructured":"Borges APP, Pelafsky VPC, Miot LDB, et al: Quality of life with ingrown toenails: a cross-sectional study. Dermatol Surg 43: 751, 2017."},{"key":"B9","series-title":"Z Gerontol Geriatr","first-page":"789","article-title":"Quality of life improvement in aged patients after toenail surgery","volume":"52","author":"Vallejo RBB","year":"2019","unstructured":"Vallejo RBB, L\u00f3pez DL, L\u00f3pez PP, et al: Quality of life improvement in aged patients after toenail surgery. Z Gerontol Geriatr 52: 789, 2019."},{"key":"B10","series-title":"Dermatol Clin","first-page":"277","article-title":"Best way to treat an ingrown toenail","volume":"33","author":"Di Chiacchio N","year":"2015","unstructured":"Di Chiacchio N, Di Chiacchio NG: Best way to treat an ingrown toenail. Dermatol Clin 33: 277, 2015."},{"key":"B11","series-title":"Foot Ankle Spec","first-page":"138","article-title":"Operative treatment of the ingrown toenail with a less-invasive technique: flashback to the original Winograd technique","volume":"11","author":"Camurcu Y","year":"2018","unstructured":"Camurcu Y, Sofu H, Issin A, et al: Operative treatment of the ingrown toenail with a less-invasive technique: flashback to the original Winograd technique. Foot Ankle Spec 11: 138, 2018."},{"key":"B12","series-title":"Ann R Coll Surg Engl","first-page":"99","article-title":"Surgical treatment of ingrown toenails in children: what is best practice?","volume":"93","author":"Mitchell S","year":"2011","unstructured":"Mitchell S, Jackson CR, Wilson-Storey D: Surgical treatment of ingrown toenails in children: what is best practice? Ann R Coll Surg Engl 93: 99. 2011."},{"key":"B13","series-title":"Dermatol Res Pract","first-page":"783924","article-title":"Controversies in the treatment of ingrown nails","volume":"2012","author":"Haneke E","year":"2012","unstructured":"Haneke E: Controversies in the treatment of ingrown nails. Dermatol Res Pract 2012: 783924, 2012."},{"key":"B14","series-title":"Clin Podiatr Med Surg","first-page":"617","article-title":"Onychocryptosis","volume":"21","author":"DeLauro NM","year":"2004","unstructured":"DeLauro NM, DeLauro TM: Onychocryptosis. Clin Podiatr Med Surg 21: 617, 2004."},{"key":"B15","series-title":"Br J Surg","first-page":"409","article-title":"The surgical management of ingrowing toenail","volume":"62","author":"Murray WR","year":"1975","unstructured":"Murray WR, Bedi BS: The surgical management of ingrowing toenail. Br J Surg 62: 409, 1975."},{"key":"B16","series-title":"Scott Med J","first-page":"236","article-title":"Phenol cauterization in the management of ingrowing toenails","volume":"27","author":"Robb JE","year":"1982","unstructured":"Robb JE, Murray WR: Phenol cauterization in the management of ingrowing toenails. Scott Med J 27: 236, 1982."},{"key":"B17","series-title":"Br J Surg","first-page":"382","article-title":"Excision of the germinal matrix: a unified treatment for embedded toe-nail and onychogryphosis","volume":"45","author":"Fowler AW","year":"1958","unstructured":"Fowler AW: Excision of the germinal matrix: a unified treatment for embedded toe-nail and onychogryphosis. Br J Surg 45: 382, 1958."},{"key":"B18","series-title":"Rev Med Suisse","first-page":"678","article-title":"Phenolisation: treatment of choice for ingrown nails [in French]","volume":"15","author":"Trigona B","year":"2019","unstructured":"Trigona B, Lang C, M\u00fchlst\u00e4dt M: Phenolisation: treatment of choice for ingrown nails [in French]. Rev Med Suisse 15: 678, 2019."},{"key":"B19","series-title":"Dermatol Ther","first-page":"e12677","article-title":"The treatment of ingrown nail: chemical matricectomy with NAOH versus wedge resection","volume":"31","author":"Akkus A","year":"2018","unstructured":"Akkus A, Demirseren DD, Demirseren ME, et al: The treatment of ingrown nail: chemical matricectomy with NAOH versus wedge resection. Dermatol Ther 31: e12677, 2018."},{"key":"B20","series-title":"Int J Dermatol","first-page":"221","article-title":"Onychocryptosis: a long-term retrospective and comparative follow-up study of surgical and phenol chemical matricectomy in 520 procedures","volume":"56","author":"Romero-P\u00e9rez D","year":"2017","unstructured":"Romero-P\u00e9rez D, Betlloch-Mas I, Encabo-Dur\u00e1n B: Onychocryptosis: a long-term retrospective and comparative follow-up study of surgical and phenol chemical matricectomy in 520 procedures. Int J Dermatol 56: 221, 2017."},{"key":"B21","series-title":"J Bone Joint Surg Br","first-page":"66","article-title":"Obliteration of the nail bed of the great toe without shortening the terminal phalanx","volume":"32","author":"Zadik F","year":"1950","unstructured":"Zadik F: Obliteration of the nail bed of the great toe without shortening the terminal phalanx. J Bone Joint Surg Br 32: 66, 1950."},{"key":"B22","series-title":"JAPMA","first-page":"316","article-title":"Postoperative infection after excisional toenail matrixectomy: a retrospective clinical audit","volume":"101","author":"Rusmir A","year":"2011","unstructured":"Rusmir A, Salerno A: Postoperative infection after excisional toenail matrixectomy: a retrospective clinical audit. JAPMA 101: 316, 2011."},{"key":"B23","series-title":"J Foot Ankle Res","first-page":"48","article-title":"Risk factors for infection following ingrowing toenail surgery: a retrospective cohort study","volume":"13","author":"Terrill AJ","year":"2020","unstructured":"Terrill AJ, Green KJ, Salerno A, et al: Risk factors for infection following ingrowing toenail surgery: a retrospective cohort study. J Foot Ankle Res 13: 48, 2020."},{"key":"B24","author":"Chabchoub I","year":"2020","unstructured":"Chabchoub I, Litaiem N: Ingrown Toenails, StatPearls, Treasure Island, FL, 2020."},{"key":"B25","series-title":"J Foot Ankle Surg","first-page":"474","article-title":"Winograd method versus Winograd method with electrocoagulation in the treatment of ingrown toenails","volume":"56","author":"Acar E","year":"2017","unstructured":"Acar E: Winograd method versus Winograd method with electrocoagulation in the treatment of ingrown toenails. J Foot Ankle Surg 56: 474, 2017."},{"key":"B26","series-title":"Foot Ankle Spec","first-page":"241","article-title":"Cosmetic results of wedge resection of nail matrix (Winograd technique) in the treatment of ingrown toenail","volume":"5","author":"Kose O","year":"2012","unstructured":"Kose O, Guler F, Gurcan S, et al: Cosmetic results of wedge resection of nail matrix (Winograd technique) in the treatment of ingrown toenail. Foot Ankle Spec 5: 241, 2012."},{"key":"B27","series-title":"Skin Appendage Disord","first-page":"272","article-title":"Patient satisfaction with treatment for onychocryptosis: a systematic review","volume":"6","author":"Stewart CR","year":"2020","unstructured":"Stewart CR, Algu L, Kamran R, et al: Patient satisfaction with treatment for onychocryptosis: a systematic review. Skin Appendage Disord 6: 272, 2020."},{"key":"B28","series-title":"J Foot Ankle Surg","first-page":"395","article-title":"Comparison of wedge resection (Winograd procedure) and wedge resection plus complete nail plate avulsion in the treatment of ingrown toenails","volume":"54","author":"Huang JZ","year":"2015","unstructured":"Huang JZ, Zhang YJ, Ma X, et al: Comparison of wedge resection (Winograd procedure) and wedge resection plus complete nail plate avulsion in the treatment of ingrown toenails. J Foot Ankle Surg 54: 395, 2015."},{"key":"B29","series-title":"Indian J Dermatol Venereol Leprol","first-page":"472","article-title":"Controlled trial comparing the efficacy of 88% phenol versus 10% sodium hydroxide for chemical matricectomy in the management of ingrown toenail","volume":"81","author":"Grover C","year":"2015","unstructured":"Grover C, Khurana A, Bhattacharya SN, et al: Controlled trial comparing the efficacy of 88% phenol versus 10% sodium hydroxide for chemical matricectomy in the management of ingrown toenail. Indian J Dermatol Venereol Leprol 81: 472, 2015."},{"key":"B30","series-title":"Dermatol Surg","first-page":"645","article-title":"Treatment of ingrowing toenails with phenol 88% or trichloroacetic acid 100%: a comparative, prospective, randomized, double-blind study","volume":"44","author":"Andr\u00e9 MS","year":"2018","unstructured":"Andr\u00e9 MS, Caucanas M, Andr\u00e9 J, et al: Treatment of ingrowing toenails with phenol 88% or trichloroacetic acid 100%: a comparative, prospective, randomized, double-blind study. Dermatol Surg 44: 645, 2018."},{"key":"B31","series-title":"Dermatol Surg","first-page":"1264","article-title":"Comparison of phenol matricectomy and nail-splinting with a flexible tube for the treatment of ingrown toenails","volume":"39","author":"Ceren E","year":"2013","unstructured":"Ceren E, Gokdemir G, Arikan Y, et al: Comparison of phenol matricectomy and nail-splinting with a flexible tube for the treatment of ingrown toenails. Dermatol Surg 39: 1264, 2013."},{"key":"B32","series-title":"Acta Orthop Traumatol Turc","first-page":"298","article-title":"Comparison of phenol applications of different durations for the cauterization of the germinal matrix: an efficacy and safety study [in Turkish]","volume":"43","author":"Tatlican S","year":"2009","unstructured":"Tatlican S, Yamang\u00f6kt\u00fcrk B, Eren C, et al: Comparison of phenol applications of different durations for the cauterization of the germinal matrix: an efficacy and safety study [in Turkish]. Acta Orthop Traumatol Turc 43: 298, 2009."},{"key":"B33","series-title":"Contact Dermatitis","first-page":"79","article-title":"Topical application of docosanol- or stearic acid-containing creams reduces severity of phenol burn wounds in mice","volume":"43","author":"Khalil MH","year":"2000","unstructured":"Khalil MH, Marcelletti JF, Katz LR, et al: Topical application of docosanol- or stearic acid-containing creams reduces severity of phenol burn wounds in mice. Contact Dermatitis 43: 79, 2000."},{"key":"B34","series-title":"Ann Emerg Med","first-page":"1303","article-title":"Effects of isopropyl alcohol, ethanol, and polyethylene glycol\/industrial methylated spirits in the treatment of acute phenol burns","volume":"21","author":"Hunter DM","year":"1992","unstructured":"Hunter DM, Timerding BL, Leonard RB, et al: Effects of isopropyl alcohol, ethanol, and polyethylene glycol\/industrial methylated spirits in the treatment of acute phenol burns. Ann Emerg Med 21: 1303, 1992."}],"container-title":["Journal of the American Podiatric Medical Association"],"original-title":[],"link":[{"URL":"https:\/\/japmaonline.org\/view\/journals\/apms\/114\/1\/22-108.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/japmaonline.org\/downloadpdf\/journals\/apms\/114\/1\/22-108.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/japmaonline.org\/downloadpdf\/journals\/apms\/114\/1\/22-108.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T10:19:34Z","timestamp":1783505974000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1930-8264\/114\/1\/22108"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":34,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.7547\/22-108","relation":{},"ISSN":["8750-7315"],"issn-type":[{"value":"8750-7315","type":"print"}],"subject":[],"published":{"date-parts":[[2024,1]]}}}