Abstract
Background
The Vandenbos procedure for ingrown toenails consists of excising the surrounding
skinfold and allowing the wound to heal by secondary intention. Previous studies have
documented low rates of recurrence, but patient-reported outcomes remain uncertain.
Methods
This study was a prospective, observational assessment of children and adolescents
who underwent the Vandenbos procedure for one or more ingrown toenails. Standardized
assessments of pain, functional status, and quality of life were completed before
surgery and then one, two, and six months postoperatively.
Results
Thirty-nine participants (with 59 ingrown toenails) completed at least one postoperative
assessment and were included in the analysis. Age ranged from 4 to 20 years (mean 13.5 years). Recovery time was a median of 7 days for return to school or work and 23 days for being able to wear enclosed shoes. Seven participants (18%) experienced one
or more minor complications within the first two months of surgery. There were no
recurrences. Ninety-five percent of participants and 100% of parents would recommend
the Vandenbos procedure.
Conclusions
We conclude that the Vandenbos procedure is associated with a low recurrence rate
in children, adolescents, and young adults with ingrown toenails. Patient-reported
recovery time, complication rate, functional outcomes, and satisfaction are excellent.
Level of evidence
3
Key words
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Article info
Publication history
Published online: February 10, 2017
Accepted:
January 23,
2017
Received:
December 26,
2016
Identification
Copyright
© 2017 Elsevier Inc. All rights reserved.
