Tırnak Batması Ingrown Nail Tedavisinde Modifiye Winograd Tekniği Sonuçlarımız

Yıl 2018, Cilt: 4 Sayı: 1, 1 - 7, 01.01.2018

Kemal Gökkuş Murat Saylık , Ergin Sağtaş Ahmet Turan Aydın

Öz

Amaç: Tırnak batması ingrown nail , günümüz toplumunda ayağın en fazla ağrı ve rahatsızlıkla sonuçlanan, iş gücü kaybına yol açan durumudur.Tırnak batması konservatif tedavi yöntemleri ile tedavi edilemezse cerrahi tedavi seçeneği önemli bir alternatiftir. Modifi ye winograd tekniği son yıllarda populer olmuş önemli bir cerrahi tedavi yöntemidir.Makalede dokümente edilen 21 olgunun 24 tırnağına uygulanan modifi ye Winograd tekniğinin klinik sonuçlarını, nüks şeklini, oranını ve hasta memnuniyetini değerlendirmeyi amaçladık.Gereç ve Yöntemler: Tırnak batması şikayeti ile başvurup konservatif tedaviye yanıt vermeyen, 21 hastanın 12 kadın /9 erkek 24 tırnağına winograd tekniği ile kısmi tırnak çekimi ve yatak revizyonu uygulandı. Hastalar ortalama 20 Min/Maks: 6 / 63 ay ay takip edildi.Pre/Post operatif VAS skorları Wilcoxon Signed Ranks Test ile değerlendirildi. Pre/Post operatif VAS skorlarının cinsiyete göre farklılık gösterip göstermediği Mann Witney U testi ile değerlendirildi. Pre/Post operatif VAS skorlarının yaş ile bağıntısı Pearson Korelasyon testi ile değerlendirildi. Nüks ve memnuniyetsizlik oranları ortalama değer olarak sunuldu.Bulgular: Preoperatif ortalama VAS skorlaması 7,48 SD: 1,159 , Postoperatif ortalama VAS skorlaması 1,48 SD: 1,05 , ortalama yaş 35,44 SD:11,67 . Pre/Postoperatif VAS skorları arasındaki düşüşün istatistiki olarak anlamlı olduğu saptandı Wilcoxon Signed Ranks Test, p

Anahtar Kelimeler

Tırnak batması, Modifi ye Winograd tekniği, Onikokriptoptosis

The Clinical Results of the Modifi ed Winograd Technique in the Treatment of Ingrown Nails

Öz

Objective: In-grown nail is the most common problem that causes pain and discomfort in the foot.If the conservative treatment fails, the surgery is the option of the treatment. Modifi ed Winograd technique is the popular and the preffered surgical treatment method nowadays.21 documented patients with 24 nails were operated with the modifi ed Winograd technique. We aimed to evaluate the clinical results, satisfaction rate, and recurrence rate of the patients in this study. Material and Methods: The patients who were resistant to conservative treatment were included in this study. The modifi ed Winograd technique was utilized in a total of 21 patients female 12/male 9 .The mean follow-up period was 20 months Min/Max: 6/63 months .Pre /Post operative changes in VAS scores were evaluated with the Wilcoxon signed Rank test. The existence of a difference in Pre /Post operative VAS scores linked with gender were evaluated by the Mann-Whitney U test. The correlation between the Pre /Post operative VAS scores and age was evaluated with the Pearson correlation test. The recurrence rate and dissatisfaction from the surgery were reported directly Results: The mean pre-operative VAS score was 7.48 SD:1.159 , The mean Post -operative VAS score was 1.48 SD:1.05 . The mean age was 35.44 SD:11.67 . The mean change in pre/post operative VAS score was found to be statistically signifi cant Wilcoxon signed Rank test, P

Anahtar Kelimeler

Ingrown nail, Modifi ed Winograd Technique, Onychocryptosis

Kaynakça

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