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Antibiotics as an adjunct to phenol matrixectomy did not decrease healing time of ingrown toenails

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 QUESTION: In patients with infected ingrown toenails, is the addition of oral antibiotics to phenol matrixectomy more effective than matrixectomy alone in decreasing healing time?


Randomised (allocation concealed*), unblinded,* controlled trial with follow up to healing.


Outpatient clinic in San Antonio, Texas, USA.


154 patients who were 10–60 years of age (mean age 21 y, 59% men) and had locally infected ingrown nails of the big toe (nail borders exhibited paronychia, granulation tissue, oedema, and the presence of exudates). Exclusion criteria were immunocompromised states (long term steroid use, diabetes mellitus, collagen vascular disease, or HIV infection), cellulitus …

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  • Source of funding: none stated.

  • For correspondence: Dr K A Trombello, Ankle and Foot Clinic, 1114 Broadway Street, Longview, WA 98665, USA. Fax +1 360 577 1871.

  • * See glossary.

  • p Value calculated from data in article.