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Clinical Efficacy of Nail Brace for Treatment of Ingrown Toenails

NCT03008629 — Not applicable, Unknown, 40 participants, Taipei Medical University WanFang Hospital

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RegistryNCT03008629
StatusUnknown
PhaseNot applicable
Study typeInterventional; non randomized, parallel, masking: none, treatment
Enrollment40 (Estimated)
SponsorTaipei Medical University WanFang Hospital (Other)
ConditionsIngrown Nail
InterventionsPodofix nail brace, Combiped nail brace, Podofix and then Combiped nail brace (Device)
Datesstart 2017-01-01, primary completion 2017-12-01 (estimated), completion 2017-12-01 (estimated), first posted 2017-01-02, last updated 2017-01-02

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-Summary

Background: Ingrown toenails are one of the most frequent nail disorders and can be treated with conservative or surgical approaches. Although discovered a long time ago, the available data are still very limited on the potential effectiveness of nail braces for ingrown toenail treatment.

Objective: This study aimed to evaluate the efficacy of nail brace (combiped and podofix) for treatment of ingrown toenails.

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+Detailed description

Method: Participants with ingrown toenail and >= 12 years old with total 40 ingrown toenails were included. Investigators divide patients to 3 group: (1) combiped group: Participants with non-infected or mild infected ingrown nail, combiped nail brace was applied instantly.20 patients(2) combine combiped and podofix group: Participants with severe paronychia with pyogenic granuloma, oral analgesics and antibiotics were prescribed first and nail brace was applied 1 week later. Depends on disease condition, investigators applied 1-2 combiped nail brace. If the pyogenic granuloma is not resolved after 1 week, investigators applied podofix first for 2-4 weeks and then combiped nail brace. After the nail brace applied, participants must come back between 2-4 weeks depends on disease condition.10 patients (3) podofix group: participants who are afraid of combiped implantation, or with mild recurrence will be applied with podofix.

Participants come back every month for evaluation and photography. Physician global assessment (0-6),Patient global assessment (VAS 0-10), Treatment satisfaction (VAS 0-10), and questionnaire were evaluated 1 month, 3 months and 6 months after the device applied. Participants need to be followed for recurrence at 3rd month and 6th month after removed the nail brace.

+Arms and interventions

ArmTypeInterventionsDescription
Podofix nail braceExperimentalDevice: Podofix nail bracefor mild ingrown toenails
Combiped nail braceExperimentalDevice: Combiped nail bracefor Severe dystrophic ingrown toenails
Podofix and then Combiped nail braceExperimentalDevice: Podofix and then Combiped nail bracefor Ingrown toenails with pyogenic granuloma
  • Podofix nail brace (Device): Podofix nail brace
  • Combiped nail brace (Device): Combiped nail brace
  • Podofix and then Combiped nail brace (Device): Podofix and then Combiped nail brace

+Outcome measures

Primary outcomes

  • Improvement (change) by Physician global assessment (0-6) [1 month, 3 months and 6 months after the device applied]

Secondary outcomes

  • Pain score (VAS0-10) [1 month, 3 months and 6 months after the device applied]
  • Improvement (change) by Patient global assessment (VAS 0-10) [1 month, 3 months and 6 months after the device applied]
  • Treatment satisfaction (VAS 0-10) [1 month, 3 months and 6 months after the device applied]
  • Quality of life by Questionnaire [1 month, 3 months and 6 months after the device applied]

+Eligibility

Sex: All, ages: 12 Years to any

Inclusion Criteria:

* more or equal to 12 years old patient with ingrown toenail

Exclusion Criteria:

* < 12 years old
* under other nail bracing use
* received partial nail resection within recent 2 months
* psoriatic nail
* target therapy related paronychia
* received combiped or podofix previously and removed within recent 6 months

+Investigators

  • Yu Chen Huang, MD, Principal investigator, Taipei Medical University WanFang Hospital

My Notes