What is the best treatment strategy for ingrown toenails?
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Partial or total avulsion of the toenail with subsequent phenol chemical matrixectomy (PCM) results in fewer recurrences than surgical treatment not utilizing PCM, although the postoperative infection rate is higher. (SOR: A, based on a meta-analysis.) Addition of a topical antibiotic does not appear to reduce the postoperative infection rate for PCM. (SOR: B, based on a RCT.)
Evidence Based Practice 15(1): 07-08.