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GİRİŞ ve AMAÇ: Tırnak batması günlük hayatı olumsuz etkileyen ve sık görülen ağrılı bir durumdur. Tırnak batması tedavisinde tanımlanmış birçok yöntem vardır. winograd yöntemi sık kullanılan cerrahi yöntemlerden biridir. Sleeve methodu ise daha az invaziv ve sonuçları iyi olan bir yöntemdir. Bu çalışmada winograd yöntemi ve sleeve yöntemi ile tedavi edilen olgular retrospektif olarak değerlendirilerek karşılaştırıldı.YÖNTEM ve GEREÇLER: Ağrı devlet hastanesinde ortopedi kliniğinde 2016-2019 yılları arasında winograd yöntemi ve sleeve methodu ile tedavi edilen 33 hastanın 39 ayak başparmak tırnak batması olgusu retrospektif olarak değerlendirildi. Bu hastalarda yaş, cinsiyet, tutulan ayak ve parmak tarafı, Heifetz evreleri, yineleme oranı, işe dönüş suresi ve memnuniyet durumları değerlendirildi. BULGULAR: Tırnak batması nedeniyle 2016-2019 yılları arasında Ağrı Devlet Hastanesinde cerrahi tedavi yapılan hastalar 6 ay takip edildi ve sonuçlar incelendi. Heifetz evrelemesine göre evre 3 olan hastalar çalışmaya alındı. Winograd tekniği uygulanan 18 hasta ile Sleeve methodu uygulanan 15 hasta, 6 ay takip edilerek sonuçları karşılaştırıldı. Winograd tekniği uygulanan yaş ortalaması 25 15-51 olan 18 hastanın 12si erkek, 6sı kadın 22 tırnak batması incelendi..Sleeve methodu uygulanan 15 hastanın 11e, 4b yaş ortalaması 23 16-41 olan, 17 tırnak batması incelendi. Rekürrens insidansına ve enfeksiyon insidansına 1. Hafta,1. Ay ve 6. Ayda bakıldı, her iki grup sonuçları birbirine yakındı. 6. Ayında yapılan hasta anketinde 100 puan üzerinden değerlendirme yapıldı tedavinin etkinliği, tedavinin kolaylığı, tedavinin kozmetik sonucu, cerrahi sonrası konfor ve iyileşme süresi gibi parametreler puanlandırıldı. Hiçbir hastada osteomyelit veya ciddi başka bir komplikasyon gelişmedi. TARTIŞMA ve SONUÇ: winograd yöntemi ve sleeve methodu, tırnak batması olgularında başarılı tedavi seçeneklerindendir. Sleeve yöntemi uygulaması daha kolay iyileşme süresi daha kısa ve kozmatik sonuçlar açısından tatmin edicidir.
Introduction and Purpose: Nail drowning is a painful condition that affects the daily life and often affects it. There are many methods that are defined in the treatment of nail swelling. Winograd method is one of the frequently used surgical methods. The Sleeve method is less invasive and the results are better. In this study, the symptoms treated with the winograd method and the sleeve method were compared by retrospective assessment.Method and requirements: The symptoms of 39 patients treated with the winograd method and the sleeve method in the Orthopedic Clinic of the State Hospital of Pain were retrospective assessed by the 33 patients treated with the winograd method and the sleeve method. These patients were assessed age, gender, holding foot and finger side, Heifetz stages, repetition rate, return to work and satisfaction conditions. BULGULARY: Patients who were undergoing surgery at the Pain State Hospital between 2016 and 2019 due to nails falling were monitored for 6 months and the results were examined. According to Heifetz’s evolution, patients in stage 3 were taken to study. The results were compared with 18 patients who applied Winograd technique and 15 patients who applied Sleeve method, followed for 6 months. Winograd technique applied age average 25 15-51 of 18 patients, 12 men, 6 women, 22 nails were studied.Sleeve method applied 15 patients, 11e, 4b age average 23 16-41, 17 nails were studied. Infections and infections 1. The Week, 1. The moon and 6. In the month, the results of the two groups were close to each other. 6 . The patient survey was evaluated over 100 points per month; parameters such as the effectiveness of treatment, the ease of treatment, the cosmetic result of treatment, the post-surgical comfort and the time of healing were scored. No patient has developed osteomyelitis or any other serious complication. PROTECTION and RESULTS: the winograd method and the sleeve method are one of the successful treatment options in the cases of nail swelling. The use of the Sleeve method is easier and the healing time is shorter and satisfactory in terms of cosmic results.
INTRODUCTION: Ingrown toenail is a common painful condition that affects daily life negatively. There are many methods defined in the treatment of ingrown toenails. In this study, winograd method and sleeve method that used for patients treated were evaluated and compared retrospectively.METHODS: 39 case of ingrown toenail of 33 patients treated with winograd method and sleeve method between 2016-2019 in orthopedics clinic in Ağrı State Hospital were evaluated retrospectively. Age, gender, foot and finger side, Heifetz stages, recurrence rate, return time and satisfaction were evaluated in these patients.RESULTS: Patients who underwent surgical treatment in Ağrı State Hospital between 2016-2019 were followed up for 6 months and the results were reviewed. According to the Heifetz's staging, patients with Stage 3 were included in the study.The results were compared with 18 patients who underwent the Winograd technique and 15 patients who underwent the sleeve method followed up for 6 months.22 nail stingings of 18 patients with a mean age of 25 who underwent Winograd technique were examined. 17 nail stingings of 15 patients with a mean age of 23 who underwent sleeve procedure were examined. The incidence of recurrence and the incidence of infection were determined at 1. week, 1. month and 6. Month and the results of both groups were close to each other. İn the 6. Month, the patient's satisfaction was scored by 100 points in terms of ease of treatment, comfort after surgery,effectiveness of the treatment and the results of the treatment.None of the patients had osteomyelitis or any other serious complication.DISCUSSION AND CONCLUSION: The Winograd method and the sleeve method are some of the successful treatment options in cases of nail stinging. The sleeve method is easier to practice and the healing time is shorter and more satisfying in terms of cosmatic results.
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