[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100582355":3},{"organization":4,"armGroups":7,"interventions":25,"overallOfficials":30,"centralContacts":37,"locations":47,"responsibleParty":58,"collaborators":30,"id":62,"slug":63,"hasResults":64,"nctId":65,"briefTitle":66,"officialTitle":67,"acronym":68,"eligibilityCriteria":69,"healthyVolunteers":70,"sex":71,"minAge":72,"maxAge":73,"enrollmentInfo":74,"targetDuration":30,"studyType":77,"phases":78,"briefSummary":80,"conditions":81,"keywords":83,"overallStatus":89,"whyStopped":30,"lastUpdateSubmitDate":90,"lastUpdatePostDateStruct":91,"startDateStruct":94,"completionDateStruct":96,"leadSponsor":98,"locationsCount":99},{"fullName":5,"class":6},"Kutahya City Hospital","OTHER",[8,14,20],{"label":9,"type":10,"description":11,"interventionNames":12},"Modified Winograd \"Bird Flap\" Technique","EXPERIMENTAL","Modified Winograd \"Bird Flap\" Technique\n\nIn the first group (n=36), the modified Winograd \"Bird Flap\" technique will be performed. Local anesthesia will be administered using a 1% lidocaine solution, applied at the base of the first toe, and a temporary tourniquet will be placed using a sterile glove. The procedure involves creating an incision resembling the contour of a sparrow's body, extending over the lateral nail bed and reaching the proximal germinal matrix and underlying bone tissue. The granulated and infected tissue will be excised entirely to ensure complete removal of the affected area. The wound will then be sutured using 3\u002F0 prolene sutures to achieve optimal wound closure. This technique aims to preserve the nail bed while effectively addressing the recurrence risk associated with conventional Winograd procedures.",[13],"Procedure: Modified Winograd \"Bird Flap\" Technique",{"label":15,"type":16,"description":17,"interventionNames":18},"Modified Noel Technique","ACTIVE_COMPARATOR","Modified Noel Technique\n\nIn the second group (n=36), the modified Noel technique will be utilized. Following local anesthesia with 1% lidocaine solution and the application of a temporary tourniquet, an approximately 4-6 mm semi-elliptical incision will be made adjacent to the lateral borders of the nail bed to access the granulated tissue. Unlike the Bird Flap technique, this method preserves both the nail bed and the proximal germinal matrix, ensuring that only the inflamed soft tissue and granulated tissue are excised. The remaining tissue will be sutured subungually using 3\u002F0 prolene sutures to facilitate proper healing and maintain the structural integrity of the nail. This technique is designed to minimize invasiveness while effectively managing infected and inflamed tissue.",[19],"Procedure: Modified Noel Technique",{"label":21,"type":16,"description":22,"interventionNames":23},"Classic Winograd Technique","Classic Winograd Technique\n\nIn the third group (n=36), the classic Winograd technique, a widely used traditional surgical approach, will be performed. After administering 1% lidocaine solution for local anesthesia and applying a temporary tourniquet, a linear incision will be made to separate the nail bed from the soft tissue. The lateral edge of the nail bed and the germinal matrix will then be excised in a linear fashion, ensuring complete removal of the affected nail portion. The wound will subsequently be sutured using 3\u002F0 prolene sutures. This method has been a standard approach for ingrown toenail surgery and is associated with high recurrence prevention rates but also carries a risk of cosmetic and structural alterations in the nail.",[24],"Procedure: Classic Winograd Technique",[26,31,34],{"type":27,"name":9,"description":28,"armGroupLabels":29,"otherNames":30},"PROCEDURE","In the first group (n=36), the modified Winograd \"Bird Flap\" technique will be performed for medially ingrown toenails. Local anesthesia with 1% lidocaine will be administered at the base of the first toe, and a temporary tourniquet will be applied using a sterile glove to minimize bleeding.\n\nThis technique modifies the Winograd method, optimizing functional and cosmetic outcomes while reducing recurrence rates. A sparrow-shaped incision will be made, encompassing the lateral nail bed, proximal germinal matrix, and underlying bone tissue, improving surgical access while preserving the healthy nail structure.\n\nGranulated and infected tissue will be excised completely down to the periosteum to prevent recurrence. The wound will be sutured using 3\u002F0 prolene sutures, ensuring optimal healing and minimal scarring. This method aims to reduce pain, shorten recovery time, and improve patient satisfaction compared to traditional approaches.",[9],null,{"type":27,"name":21,"description":32,"armGroupLabels":33,"otherNames":30},"The classic Winograd technique, a widely used traditional surgical approach, will be performed. Local anesthesia with 1% lidocaine will be administered, and a temporary tourniquet will be applied. A linear incision will be made to separate the nail bed from the soft tissue, followed by the excision of the lateral nail bed and germinal matrix in a linear fashion to ensure complete removal of the affected nail portion. The wound will then be sutured using 3\u002F0 prolene sutures.\n\nThis method is a standard approach for ingrown toenail surgery, offering high recurrence prevention rates but carrying a risk of cosmetic and structural nail alterations.",[21],{"type":27,"name":15,"description":35,"armGroupLabels":36,"otherNames":30},"Local anesthesia with 1% lidocaine will be administered, and a temporary tourniquet will be applied. A 4-6 mm semi-elliptical incision will be made adjacent to the lateral borders of the nail bed to access the granulated tissue.\n\nUnlike the Bird Flap technique, this method preserves both the nail bed and proximal germinal matrix, ensuring that only the inflamed soft tissue and granulated tissue are excised. The remaining tissue will be sutured subungually using 3\u002F0 prolene sutures, promoting proper healing and maintaining the nail's structural integrity. This technique is designed to be less invasive while effectively treating infected and inflamed tissue.",[15],[38,43],{"name":39,"role":40,"phone":41,"phoneExt":30,"email":42},"Bilgehan Ocak, MD","CONTACT","+90 5377374534","bilgeocak@gmail.com",{"name":44,"role":40,"phone":45,"phoneExt":30,"email":46},"Turan Cİhan Dulgeroglu, Prof","+90 505 834 67 53","dr_turancihan@hotmail.com",[48],{"facility":5,"status":30,"city":49,"state":30,"zip":50,"country":51,"countryCode":30,"cosmosGeoPoint":52,"geoPoint":57,"contacts":30},"Kütahya","43040","Turkey (Türkiye)",{"type":53,"coordinates":54},"Point",[55,56],29.98333,39.42417,{"lat":56,"lon":55},{"type":59,"investigatorFullName":60,"investigatorTitle":61,"investigatorAffiliation":5,"oldNameTitle":30,"oldOrganization":30},"PRINCIPAL_INVESTIGATOR","Bilgehan OCAK","Principal Investigator","100582355","p--ingrown-toenail-patient-i--bird-flap-surgery-c--noel-winograd-method-o--recurrence-complications-functional-outcome-pain-100582355",false,"NCT06862232","P : Ingrown Toenail Patient I : Bird Flap Surgery C : Noel Winograd Method O : Recurrence, Complications, Functional Outcome, Pain,","Efficacy and Outcomes of Winograd, Birdflap, and Noel's Surgical Techniques in Ingrown Toenail Treatment: A Prospective Randomized Controlled Study","ITN","Inclusion Criteria:\n\n* Age between 18 and 65 years\n* Diagnosis of ingrown toenail (onychocryptosis)\n* Indication for surgical treatment\n\nExclusion Criteria:\n\n* Presence of malignancy in the body\n* Existence of foot deformities\n* Presence of pincer nail deformity\n* History of drug allergy\n* Presence of active infection in the body\n* Diabetic neuropathy or necrotic foot ulcers\n* Pregnancy\n* History of prior foot or ankle surgery",true,"ALL","18 Years","65 Years",{"count":75,"type":76},108,"ESTIMATED","INTERVENTIONAL",[79],"NA","The treatment of ingrown toenails is highly diverse, with numerous surgical techniques described in the literature alongside conservative approaches. The primary goals of all these surgical methods are to reduce recurrence rates, improve patients' quality of life, and achieve favorable cosmetic outcomes. In this study, we aim to compare the recently introduced Bird Flap, a modified Winograd technique, with Noel's technique and the classic Winograd method in terms of recurrence rates, patient quality of life, cosmetic outcomes, and postoperative pain.",[82],"Ingrown Toenail",[84,85,86,87,88],"ingrown toenail","birdflap surgery","winograd","recurrence","noel's surgery","NOT_YET_RECRUITING","2025-03-02",{"date":92,"type":93},"2025-03-06","ACTUAL",{"date":95,"type":76},"2025-03-01",{"date":97,"type":76},"2025-12-01",{"name":5,"class":6},1]