This randomized clinical trial aims to compare the recurrence rates of two surgical techniques-Winograd procedure and sleeve (gutter) method-in the treatment of ingrown toenails (onychocryptosis). A total of 312 nails will be randomized into two groups, with patients receiving either the Winograd procedure or sleeve method. Participants will be followed for 30 days post-intervention to assess recurrence and other clinical outcomes. The study seeks to determine the more effective treatment modality for reducing recurrence in a tertiary care setting.
Patients presenting with ingrown toenail (onychocryptosis)
Patients for whom surgical intervention is indicated
Age between 12 and 75 years
Both male and female participants
Patients with diabetes mellitus
Patients with peripheral vascular disease
Immunocompromised patients
Patients with coagulopathy