{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T13:51:31Z","timestamp":1787320291579,"version":"build-2736575974"},"reference-count":21,"publisher":"MDPI AG","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    This study aimed to compare the rates of recurrence, complications, and patient satisfaction among individuals undergoing different variations of the Winograd method (WM) for the treatment of ingrown toenail, including the addition of electrocoagulation (EC) and a novel suture technique.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Methods:<\/jats:bold>\n                    A retrospective analysis was conducted of 605 patients who underwent surgery for ingrown toenail using the WM at two institutions. Patients were divided into four groups based on the surgical technique used: group 1 (WM + EC + new suture), group 2 (WM + EC + traditional suture), group 3 (WM + non-EC + traditional suture), and group 4 (WM + non-EC + new suture). Recurrence rates, complications, and patient satisfaction levels were assessed.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results:<\/jats:bold>\n                    Group 1 demonstrated the lowest recurrence rates, whereas group 3 had the highest. Group 1 exhibited the highest satisfaction rate, whereas group 3 had the lowest. Notably, the suture technique appeared to have a greater impact on reducing recurrence rates than EC.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusions:<\/jats:bold>\n                    Incorporating germinal matrixectomy with EC and a new suture method with the WM may improve patient satisfaction and reduce recurrence rates in ingrown toenail treatment. The suture technique appears to play a significant role in decreasing recurrence rates compared with EC.\n                  <\/jats:p>","DOI":"10.7547\/24-046","type":"journal-article","created":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T14:39:55Z","timestamp":1765895995000},"source":"Crossref","is-referenced-by-count":1,"title":["Evidencing Superior Efficacy"],"prefix":"10.3390","volume":"115","author":[{"given":"Muhammed","family":"Kazez","sequence":"first","affiliation":[{"name":"Department of Orthopedics and Traumatology, Elaz\u0131\u011f Fethi Sekin City Hospital, Elaz\u0131\u011f, Turkey. Dr. Yalin is now with the Department of Orthopedics and Traumatology, Faculty of Medicine, Yalova University, Yalova, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mustafa","family":"Yalin","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, Elaz\u0131\u011f Fethi Sekin City Hospital, Elaz\u0131\u011f, Turkey. Dr. Yalin is now with the Department of Orthopedics and Traumatology, Faculty of Medicine, Yalova University, Yalova, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Orhan","family":"Ayas","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, Elaz\u0131\u011f Fethi Sekin City Hospital, Elaz\u0131\u011f, Turkey. Dr. Yalin is now with the Department of Orthopedics and Traumatology, Faculty of Medicine, Yalova University, Yalova, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00d6mer","family":"Esmez","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, Faculty of Medicine, F\u0131rat University, Elaz\u0131\u011f, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sefa","family":"Key","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, Faculty of Medicine, F\u0131rat University, Elaz\u0131\u011f, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","reference":[{"key":"B1","series-title":"Foot Ankle Surg","first-page":"181","article-title":"Surgical interventions for ingrown toenail","volume":"30","author":"Huang S","year":"2024","unstructured":"Huang S, Wang J, Chen Z, et al: Surgical interventions for ingrown toenail. Foot Ankle Surg 30: 181, 2024."},{"key":"B2","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":"B3","series-title":"Indian J Dermatol","first-page":"343","article-title":"Ingrown toenail treated by the modified Howard-Dubois technique: long-term follow-up results","volume":"67","author":"Tian J","year":"2022","unstructured":"Tian J, Chen Z, Li J: Ingrown toenail treated by the modified Howard-Dubois technique: long-term follow-up results. Indian J Dermatol 67: 343, 2022."},{"key":"B4","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":"B5","series-title":"J Contemp Med","first-page":"930","article-title":"Comparison of Winograde and Vandenbos surgical techniques according to Heifetz stage in the treatment of ingrown toenails","volume":"12","author":"Kaya E","year":"2022","unstructured":"Kaya E, Co\u015fkun T: Comparison of Winograde and Vandenbos surgical techniques according to Heifetz stage in the treatment of ingrown toenails. J Contemp Med 12: 930, 2022."},{"key":"B6","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":"B7","series-title":"Tech Orthop","first-page":"165","article-title":"A new and simple suture technique after ingrown toenail","volume":"29","author":"Uygur E","year":"2014","unstructured":"Uygur E: A new and simple suture technique after ingrown toenail. Tech Orthop 29: 165, 2014."},{"key":"B8","series-title":"Skin Appendage Disord","first-page":"126","article-title":"Matricectomy with electrocautery as therapy for recurrent ingrown toenail","volume":"9","author":"Dharmawan N","year":"2023","unstructured":"Dharmawan N, Rachman PO, Nareswari A, et al: Matricectomy with electrocautery as therapy for recurrent ingrown toenail. Skin Appendage Disord 9: 126, 2023."},{"key":"B9","series-title":"Jt Dis Relat Surg","first-page":"414","article-title":"Comparison of Vandenbos procedure or Winograd method for ingrown toenail","volume":"32","author":"Karacan E","year":"2021","unstructured":"Karacan E, Ertilav D: Comparison of Vandenbos procedure or Winograd method for ingrown toenail. Jt Dis Relat Surg 32: 414, 2021."},{"key":"B10","series-title":"Arch Surg","first-page":"320","article-title":"Partial matrix excision or segmental phenolization for ingrowing toenails","volume":"137","author":"Gerristma-Bleeker CLE","year":"2002","unstructured":"Gerristma-Bleeker CLE, Klaase JM, Geelkerken RH, et al: Partial matrix excision or segmental phenolization for ingrowing toenails. Arch Surg 137: 320, 2002."},{"key":"B11","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: Cosmetic results of wedge resection of nail matrix (Winograd technique) in the treatment of ingrown toenail. Foot Ankle Spec 5: 241, 2012."},{"key":"B12","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":"B13","series-title":"Dermatol Surg","first-page":"1132","article-title":"Partial matricectomy with curettage and electrocautery: a comparison of two surgical methods in the treatment of ingrown toenails","volume":"40","author":"Ozan F","year":"2014","unstructured":"Ozan F, Dogar F, Altay T, et al: Partial matricectomy with curettage and electrocautery: a comparison of two surgical methods in the treatment of ingrown toenails. Dermatol Surg 40: 1132, 2014."},{"key":"B14","series-title":"Int J Environ Res Public Health","first-page":"278","article-title":"A minimally-invasive, simple, rapid, and effective surgical technique for the treatment of ingrown toenails: a reminder of the original Winograd procedure","volume":"18","author":"Kim J","year":"2021","unstructured":"Kim J, Lee S, Lee JS, et al: A minimally-invasive, simple, rapid, and effective surgical technique for the treatment of ingrown toenails: a reminder of the original Winograd procedure. Int J Environ Res Public Health 18: 278, 2021."},{"key":"B15","series-title":"Int Surg J","first-page":"2349","article-title":"Results of Winograd technique (wedge resection of the toenail and nail bed) in ingrown toe nail","volume":"6","author":"Khan A","year":"2019","unstructured":"Khan A, Kumar S: Results of Winograd technique (wedge resection of the toenail and nail bed) in ingrown toe nail. Int Surg J 6: 2349, 2019."},{"key":"B16","series-title":"Int J Low Extrem Wounds","first-page":"192","article-title":"Partial removal of nail matrix in the treatment of ingrown nails: prospective randomized control study between curettage and electrocauterization","volume":"14","author":"Kim M","year":"2015","unstructured":"Kim M, Song IG, Kim HJ: Partial removal of nail matrix in the treatment of ingrown nails: prospective randomized control study between curettage and electrocauterization. Int J Low Extrem Wounds 14: 192, 2015."},{"key":"B17","series-title":"J Foot Ankle Surg","first-page":"291","article-title":"Does electrocauterization of the matrix after the wedge resection of the toe-nail affect recurrence in discrete age groups differently? A retrospective analysis","volume":"62","author":"Gurhan U","year":"2023","unstructured":"Gurhan U, Kahve Y, Yavuz IA, et al: Does electrocauterization of the matrix after the wedge resection of the toe-nail affect recurrence in discrete age groups differently? A retrospective analysis. J Foot Ankle Surg 62: 291, 2023."},{"key":"B18","series-title":"Arch Plast Surg","first-page":"202","article-title":"Improved patient outcomes with electrocauterization following wedge resection and curettage for ingrown toenails: a prospective comparative study","volume":"51","author":"Amarin M","year":"2024","unstructured":"Amarin M, Al-Taher R, Daradka K, et al: Improved patient outcomes with electrocauterization following wedge resection and curettage for ingrown toenails: a prospective comparative study. Arch Plast Surg 51: 202, 2024."},{"key":"B19","series-title":"Int J Surg","first-page":"1","article-title":"A new and simple suturing technique applied after surgery to correct ingrown toenails may improve clinical outcomes: a randomized controlled trial","volume":"34","author":"Uygur E","year":"2016","unstructured":"Uygur E, \u00c7ark\u00e7i E, \u015eenel A, et al: A new and simple suturing technique applied after surgery to correct ingrown toenails may improve clinical outcomes: a randomized controlled trial. Int J Surg 34: 1, 2016."},{"key":"B20","series-title":"JAPMA","first-page":"21","article-title":"Retrospective evaluation of ingrown toenails in a tertiary reference center","volume":"112","author":"Rota DD","year":"2022","unstructured":"Rota DD, Tanacan E, Sarac GA, et al: Retrospective evaluation of ingrown toenails in a tertiary reference center. JAPMA 112: 21, 2022."},{"key":"B21","series-title":"Foot Ankle Int","first-page":"888","article-title":"Results of partial matrixectomy for chronic ingrown toenail","volume":"32","author":"Kayalar M","year":"2011","unstructured":"Kayalar M, Bal E, Toros T, et al: Results of partial matrixectomy for chronic ingrown toenail. Foot Ankle Int 32: 888, 2011."}],"container-title":["Journal of the American Podiatric Medical Association"],"original-title":[],"link":[{"URL":"https:\/\/japmaonline.org\/view\/journals\/apms\/115\/6\/24-046.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/japmaonline.org\/downloadpdf\/journals\/apms\/115\/6\/24-046.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/japmaonline.org\/downloadpdf\/journals\/apms\/115\/6\/24-046.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T10:20:28Z","timestamp":1783506028000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1930-8264\/115\/6\/24046"}},"subtitle":["Suture Technique Outperforms Electrocoagulation in Reducing Recurrence in Ingrown Toenail Surgery"],"short-title":[],"issued":{"date-parts":[[2025,11]]},"references-count":21,"journal-issue":{"issue":"6"},"URL":"https:\/\/doi.org\/10.7547\/24-046","relation":{},"ISSN":["8750-7315"],"issn-type":[{"value":"8750-7315","type":"print"}],"subject":[],"published":{"date-parts":[[2025,11]]}}}