OUTCOME OF WEDGE RESECTION WATSON–CHEYNE TECHNIQUE IN INGROWN TOE NAIL, A PROSPECTIVE STUDY.

John Mohd; Anil Gupta; Aamir Yaqoob Hakak; Zubair A. Lone

Volume : IX, Issue : VII, July - 2019

OUTCOME OF WEDGE RESECTION WATSON–CHEYNE TECHNIQUE IN INGROWN TOE NAIL, A PROSPECTIVE STUDY.

John Mohd, Anil Gupta, Aamir Yaqoob Hakak, Zubair A. Lone

Abstract :

Among the various conditions affecting the foot, ingrown toe nail is a major cause of significant morbidity. It affects a wide range of age group and there is often a history of inappropriate nail trimming habits or ill–fitting foot wear. Initial stages respond to non–operative measures like pain killers, anti–inflammatory drugs, warm soaks, and antibiotics in case of infected cases. Operative measures are reserved for advanced and progressive cases not responding to conservative treatment. Many operative techniques are employed with each having its pros and cons. We carried out a prospective study on a group of 30 patients from March 2017 to March 2019. Watson–Cheyne technique of Wedge resection of nail, nail bed, and nail fold to include nail matrix was used. At the final follow up of one year we recorded the complications, recurrence rate and patient satisfaction. Thirty four (34) Toes in thirty (30) patients underwent surgical treatment. Three (8.82 %) toes got infected post–operatively with five (14.7 %) out of 34 toes operated had recurrence. The combined satisfaction rate in our study group was 70%. Watson–Cheyne technique is a safe procedure, however there are chances of recurrence of nail spicules and mild cosmetic deformity