Altering Toenail Biomechanic in Managing Ingrown Toenail.

Study Overview
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Brief Summary
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Ingrown toenail is commonly met in clinical practice.treatment may be non-operative and operative treatment.operative trestment depends on lateral wedge resection of the nail. The idea is to change toenail biomechanics by central toenail resection.

Detailed Description
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The aim of this study is to compare between central toenail resection with ordinary lateral wedge resection in managing ingrown toenail. This study was performed on 100 patients divided into 2 groupd each is 50 patients. Group A underwent central resection while group B underwent lateral toenail resection.

Official Title
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Altering Toenail Biomechanic in Managing Ingrown Toenail.Randomized Clinical Trial.

Conditions
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Ingrown Toenail

Intervention / Treatment
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* Procedure: Central toenail resection
* Procedure: Wedge toenail resection


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: patient with ingrown toenail Patients from 10 years up to 35 years Exclusion Criteria: patients with concurrent toe deformity patients less than 10 years or more than 35 years

Ages Eligible for Study
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Minimum Age: 10 Years
Maximum Age: 35 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Central toenail resection<br>Under local ring anaesthesua using xylocaine injection in base of big toe ,Surgical resection of the central part of toenail with underlying germinal matrix.the defect is sutures by prolene. | Procedure: Central toenail resection<br>* Using local aneasthesia, resection of central part of toenail with germinal matrix.<br>* Other names: Surgical resection;|
| Active Comparator: wedge toenail resection<br>Under local ring anaesthesiausing xylocaine injection around the base of big toe. Resect lateral wedge of toenail with removal of ingrown toenail and periungual skin. The wound is then sutured. | Procedure: Wedge toenail resection<br>* Using local anaesthesia,we remove lateral part of toenail .<br>* Other names: Surgical resection;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Postoperative pain on visual analog score for pain | All patients are pain free after 5 days postoperative | six month | 
| Intraoperative time measured in minutes | All operations end within 15 minutes. | Six month | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Recurrence after operation | Recurrence is followed up by asking the patient to follow up in outpatient clinic after six month and also,by calling the patients in telephone. | six month | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Ingrown toenail, Biomechanic, Central resection, Recurrence