Quality of life improvement in aged patients after toenail surgery

Verbesserung der Lebensqualität bei älteren Patienten nach Zehennageloperation



Patients of all ages can develop nail disorders, such as onychocryptosis, which are recurrent and painful conditions.


The aim of the study was to compare the quality of life in a group of aged patients with recurrent and painful ingrown toenails before and after chemical nail surgery to treat onychocryptosis.

Material and methods

The study design utilized a presurgery and a postsurgery questionnaire and examined prospective serial cases. The participants were drawn from an outpatient podiatric clinic from 1 January 2015 to 29 August 2016. The final sample of patients (>65 years old) underwent nail surgery with chemical matricectomy using phenol. In addition to the chemical nail surgical procedure, the patients completed the Manchester-Oxford Foot Questionnaire (MOXFQ) and the Borg CR-10 scale category ratio (CR) within 4 weeks prior to surgery. The patients completed both questionnaires again through mailing 3 months postsurgery.


Lower MOXFQ scores were noted after surgery, demonstrating an improvement in quality of life after chemical nail surgery. Men and women exhibited similar results (p> 0.05), with the exception of the Borg CR-10 scale where women reported more residual pain compared with men, with scores of 1.26 ± 1.65 and 0.09 ± 0.20, respectively (p= 0.011).


After a chemical nail surgery procedure, the quality of life improved in aged patients with recurrent and painful ingrown toenails.



Bei Patienten aller Altersgruppen können sich Nagelerkrankungen entwickeln, wie z. B. eingewachsene Zehennägel (Onychocryptosis), die rezidivierend und schmerzhaft sein können.


Ziel der Studie war es, die Lebensqualität in einer Gruppe älterer Patienten mit rezidivierenden und schmerzhaften eingewachsenen Zehennägeln vor und nach chemischer Nageloperation als Behandlung einer Onychocryptosis zu vergleichen.

Material und Methoden

Das Studiendesign umfasste einen Fragebogen jeweils vor und nach der Operation und untersuchte eine prospektive Fallserie. Die Teilnehmer wurden zwischen 1. Januar 2015 und 29. August 2016 von einer ambulanten Klinik für Podiatrie rekrutiert. Die letzte Probandengruppe (>65 Jahre) unterzog sich einer Nageloperation mit chemischer Matrixektomie unter Anwendung von Phenol. Zusätzlich zur chemischen Nageloperation füllten die Patienten den Manchester-Oxford Foot Questionnaire (MOXFQ) sowie die Borg-CR-10-Skala (Kategorie-Ratio [CR]) innerhalb der 4 Wochen vor Operation aus. Die Patienten füllten beide Fragebögen erneut 3 Monate postoperativ per Post aus.


Nach der Operation wurden niedrigere MOXFQ-Scores festgestellt, was zeigt, dass es zu einer Verbesserung der Lebensqualität nach chemischer Nageloperation kam. Männer und Frauen zeigten ähnliche Ergebnisse (p> 0,05) mit Ausnahme der Borg-CR-10-Skala, in welcher Frauen über mehr verbleibende Schmerzen berichteten als Männer, mit Score-Werten von 1,26 ± 1,65 bzw. 0,09 ± 0,20 (p= 0,011).


Nach einer chemischen Nageloperation verbesserte sich die Lebensqualität älterer Patienten mit rezidivierenden und schmerzhaften eingewachsenen Zehennägeln

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The authors received no funding for this study.

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Corresponding author

Correspondence to Marta Elena Losa Iglesias PhD.

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Conflict of interest

R. Becerro de Bengoa Vallejo, D. López López, P. Palomo López, A. Soriano Medrano, Á. Morales Ponce and M.E. Losa Iglesias declare that they have no competing interests.

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1975 Helsinki declaration and its later amendments or comparable ethical standards. Informed consent was obtained from all individual participants included in the study.

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Becerro de Bengoa Vallejo, R., López López, D., Palomo López, P. et al. Quality of life improvement in aged patients after toenail surgery. Z Gerontol Geriat 52, 789–794 (2019). https://doi.org/10.1007/s00391-019-01504-8

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  • Questionnaire
  • Nail diseases
  • Pain
  • Surgical procedures
  • Podiatry


  • Fragebogen
  • Nagelerkrankungen
  • Schmerzen
  • Operationsverfahren
  • Podiatrie