AI Article Synopsis
- Treatment of ingrown toenails with 10% sodium hydroxide is effective for both diabetic and non-diabetic patients, despite potential complications in diabetic individuals.
- A study involved 30 diabetic patients and 30 non-diabetic patients, examining healing and recurrence rates after the chemical treatment.
- Results showed no significant differences in healing, pain, infections, or recurrences between the two groups, confirming the treatment's safety and effectiveness for those with diabetes.
Article Abstract
Background: Treatment of ingrown toenails using chemical matricectomy in patients with diabetes has been difficult, because delayed wound healing, wound infections, and digital ischemia can interfere with the procedure. Chemical matricectomy with 10% sodium hydroxide is an effective treatment for ingrown toenails in a normal population.
Objectives: Investigation of the effectiveness and safety of chemical matricectomy with 10% sodium hydroxide solution for ingrown toenails in patients with diabetes.
Material And Methods: Thirty patients with diabetes with 40 ingrown toenails and 30 patients without diabetes with 41 ingrown toenails were enrolled in the study. After partial avulsion of the affected edge, germinal matrix was treated for 1 minute with 10% sodium hydroxide. Patients were observed on alternate days until complete healing was achieved and followed for up to 24 months for recurrence.
Results: Assessment of the treatment in both groups for complete healing, postoperative pain, tissue damage, drainage, infections, and rate of recurrences revealed no statistically significant difference.
Conclusions: The partial avulsion of the affected edge and the treatment of the germinal matrix for 1 minute with 10% sodium hydroxide preceded by matrix curettage is an effective and safe treatment modality for ingrown toenails in people with diabetes.
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| http://dx.doi.org/10.1111/j.1524-4725.2009.01351.x | DOI Listing |
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