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Partial Matrix Excision or Orthonyxia for Ingrowing Toenails Kruijff S, van Det RJ, van der Meer GT, van den Berg IC, van der Palen J, Geelkerken RH J Am Coll Surg. 2008;206:148-153 Summary In this report, the authors present findings evaluating 2 surgical options for treating ingrown toenails: partial excision of the matrix (58 patients), or orthonyxia (51 patients), in which the operator first removes the offending symptomatic nail spicule and then applies a metal strut to the dorsum of the nail. The main study endpoint was the rate of recurrence. The frequency of recurrence at 1 year was similar in the 2 groups (partial matrix excision = 4, orthonyxia = 8, P = .14), but orthonyxia improved postoperative recovery, which was measured as bleeding, pain, and ability to wear shoes.

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Added: Mon Apr 07 2008

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