Steri-Strip Sling Technique – A Simple Procedure for the Management of Ingrown Toenails – A Prospective Study

Abstract

Background Ingrown toenail is a nail disorder that commonly affects great toenails. Surgical modalities are commonly used as first-line treatment. A conservative approach is preferable as surgical procedures lead to pain and affect routine activities. Our aim is to study the efficacy of a new conservative technique using steri-stripTM for the treatment of mild to moderate ingrown toenails as an outpatient procedure. Methods Fifty patients presenting with stage 1–2 ingrown toenails were treated with the ‘steri-strip sling technique’. Steri-stripTM is inserted between the disto-lateral edge of the nail plate and nail fold and secured with an elastic bandage. The dressing is kept till the nail edge grows over the nail fold and stops penetrating the skin. Patients were reviewed every week for a month after the treatment and monthly thereafter. The final result was assessed at 6 months. The success of treatment was assessed clinically and by patient satisfaction levels. Results Fifty patients were treated and followed up. Immediately after the procedure, all patients reported significant relief in pain. After 6 months, 46 out of 50 patients were satisfied with the treatment and showed no recurrence. No complications were reported. Conclusion The ‘Steri-stripTM sling technique’ is a simple and effective outpatient procedure for the management of mild to moderate ingrown toenails.

Keywords

• ingrown toenails
• onychocryptosis
• steri-strip