“Super U” technique for ingrown nails: a tertiary hospital experience between 2011 and 2018

Background An ingrown nail is a common dermatological complaint observed in clinical practice. This condition (also referred to as onychocryptosis) causes pain and disability and commonly affects young adults. Treatment depends upon the stage of nail involvement in that stage 1 may often be successfully treated conservatively, whereas stages 2 and 3 usually require surgical management. The “Super U” technique is a good option to treat selected patients with severe onychocryptosis. Methods We retrospectively investigated 19 patients with stage 3 onychocryptosis who underwent 20 surgical procedures using the “Super U” technique. Results The mean age was 33.5 years, and male predominance (78.9%) was observed. All patients presented with hypertrophic nail folds. Three patients developed infection attributed to poor hygiene and refusal to use antibiotics. Recurrence occurred in two of these three patients, perhaps secondary to infection and improper nail trimming after surgery. Conclusions A proper surgical technique in addition to patient compliance guidelines for postoperative care and medications are important for prompt recovery and successful outcomes.