Estudio sobre tratamientos conservadores de la onicocriptosis en comparación con el común mechado de venda de gasa

Abstract

INTRODUCTION: Onychocryptosis is one of the most prevalent onychopathies in podiatry consultations. Conservative treatments are the first therapeutic choice, with nail remodeling with clotrimazole gel and perilesional glucocorticoid infiltrations emerging as an alternative, although their medium-term effectiveness is unknown. Therefore, the objective of this work was to compare, in isolation, the effectiveness of both techniques compared to gauze bandage for the conservative treatment of onychocryptosis. METHODOLOGY: Two randomized clinical trial type analytical studies are proposed. On the one hand, for nail remodeling, a sample of 20 subjects who presented onychocryptosis in stages I and IIA were selected and randomly distributed into two groups, with the presence of recurrence being evaluated over a period of 3 months. On the other hand, the sample was made up of 40 patients with onychocryptosis in stages I, II and III; They were randomly assigned to one of the two treatment groups, reviewing the reduction in pain and inflammation at one week and one month. RESULTS: After the 3-month follow-up period, 7 patients in the reeducation group presented a recurrence of onychocryptosis, while only 1 patient in the remodeling group. However, after one month of treatment, the corticosteroid group presented a reduction in inflammation that was significantly less in the corticosteroid group (p= 0.029). CONCLUSION: The nail remodeling technique has a lower recurrence rate than the nail re-education technique with gauze bandage. Corticosteroid infiltration was shown to be more effective than the application of a gauze wick in reducing inflammation in patients with onychocryptosis, although it seems that a single infiltration is not enough to prevent recurrence of the pathology.