Danish medical journal · 2025
Recurrence and risks after partial matrixectomy for ingrown nails.
СтатьяНазвание и аннотация: Перевод в очереди
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Al-Attar Nawfal Khalid Rasheed, Horodyskyy Mykola, Mortensen Jacob Fyhring, Overgaard Søren, Obionu Kenneth Chukwuemeka
Аннотация
INTRODUCTION: Ingrown nails (onychocryptosis) is a debilitating condition that often recurs after partial matrixectomy. Therefore, this study investigated the incidence of ingrown nails and identified the risk factors associated with recurrence.
METHODS: This retrospective cohort study analysed electronic health records of orthopaedic surgery patients aged 18+ from Bispebjerg and Frederiksberg Hospitals, Denmark (April 2017-November 2020) to assess recurrence and associated risk factors.
RESULTS: The cohort included 53% females (n = 83) and 47% males (n = 75), with 44% (n = 69) aged 18-28 years. Active smokers constituted 73% (n = 115). Common comorbidities were musculoskeletal disorders (32%, n = 51), endocrine (22%, n = 34) and cardiovascular disorders (15%, n = 23). Recurrence occurred in 34% (n = 54, p less-than 0.05). Middle-aged individuals (29-40 years: 64%; 41-50 years: 60%) showed slightly higher recurrence rates, though this finding was non-significant (p = 0.07). Males (OR = 0.24, 95% CI, p = 0.000) and smokers (OR = 0.34, 95% CI, p = 0.016) had lower recurrence odds. Complications were significantly higher in recurrence cases (OR = 4.35, 95% CI, p less-than 0.000), with abscess (100%), panaritium (100%) and onychogryphosis (95%) being the most prevalent.
CONCLUSIONS: Recurrence affected one-third of the cohort, with higher rates being observed in younger and middle-aged individuals, whereas males and smokers had lower recurrence rates.
FUNDING: None.
TRIAL REGISTRATION: Not relevant.
METHODS: This retrospective cohort study analysed electronic health records of orthopaedic surgery patients aged 18+ from Bispebjerg and Frederiksberg Hospitals, Denmark (April 2017-November 2020) to assess recurrence and associated risk factors.
RESULTS: The cohort included 53% females (n = 83) and 47% males (n = 75), with 44% (n = 69) aged 18-28 years. Active smokers constituted 73% (n = 115). Common comorbidities were musculoskeletal disorders (32%, n = 51), endocrine (22%, n = 34) and cardiovascular disorders (15%, n = 23). Recurrence occurred in 34% (n = 54, p less-than 0.05). Middle-aged individuals (29-40 years: 64%; 41-50 years: 60%) showed slightly higher recurrence rates, though this finding was non-significant (p = 0.07). Males (OR = 0.24, 95% CI, p = 0.000) and smokers (OR = 0.34, 95% CI, p = 0.016) had lower recurrence odds. Complications were significantly higher in recurrence cases (OR = 4.35, 95% CI, p less-than 0.000), with abscess (100%), panaritium (100%) and onychogryphosis (95%) being the most prevalent.
CONCLUSIONS: Recurrence affected one-third of the cohort, with higher rates being observed in younger and middle-aged individuals, whereas males and smokers had lower recurrence rates.
FUNDING: None.
TRIAL REGISTRATION: Not relevant.