J Korean Foot Ankle Soc.  2018 Sep;22(3):111-115. 10.14193/jkfas.2018.22.3.111.

Gutter Splint for Ingrown Toe Nail in Young Patients

Affiliations
  • 1Department of Orthopedic Surgery, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea. woonysos@daum.net

Abstract

PURPOSE
Ingrown toenails are a common disease in the adolescent period and the treatments could be more conservative for this early stage of the disease. This study is a case series on the results of a gutter splint for an adolescent ingrown toe nail as a simple, comfortable treatment method.
MATERIALS AND METHODS
From 2011 to 2018, 22 patients (mean age, 12.2 years; range, 8~15 years) with ingrown toenails were treated with a gutter splint. There were 16 boys and 6 girls with 7 patients on both great toes, and additional 4 both corners of a nail, giving a total of 33 splints. Flat, plastic straws and glue or suture were used to protect the nail corners under local anesthesia. The medical records were reviewed retrospectively and phone calls were made to obtain the long-term results.
RESULTS
Fifteen splints were fixed with a suture and the other 18 splints were fixed with glue. There were 9 cases of recurrence out of 33 gutter splints, 8 out of 15 sutured splints and 1 out of 18 glued splints (p=0.010). There was no gender (p=0.383) or age (p=0.305) difference in the number of recurrences.
CONCLUSION
For growing people, ingrown nails can be cured easily by conservative treatment for a transiently shortened or broken toenail. The glued gutter splint had a reasonable success rate as a first line treatment.

Keyword

Ingrown toe nail; Young patient; Conservative treatment

MeSH Terms

Adhesives
Adolescent
Anesthesia, Local
Female
Humans
Medical Records
Methods
Nails
Nails, Ingrown
Plastics
Recurrence
Retrospective Studies
Splints*
Sutures
Toes*
Adhesives
Plastics
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