The Evidence Files: Phenol vs Surgical Matrixectomy for Ingrown Toenails
Both phenol chemical ablation and surgical matrixectomy successfully treat ingrown toenails; phenol has faster healing, surgery has lower recurrence.
By Dr. Sean Griffin
The Evidence Files: Phenol vs Surgical Matrixectomy for Ingrown Toenails Ingrown toenails are one of the most common foot conditions. If conservative care fails, two main permanent treatment options exist: phenol chemical ablation and surgical matrixectomy. Both are evidence supported, but they differ in success rates, healing time, and recurrence. The phenol technique uses chemical ablation to destroy the nail producing matrix; surgical matrixectomy physically removes the problematic nail border and its underlying matrix. This article reviews what randomized controlled trials and systematic reviews show about these approaches. Related Reading If this article was helpful, you may also find these useful: The Evidence Files: Achilles Tendon Rupture — Surgical vs Non Surgical Outcomes The Evidence Files: Bunion Recurrence Rates — Long Term Research Findings The Evidence Files: Chronic Ankle Instability — Brace vs Surgery Research Review The Evidence Files: Minimally Invasive Bunion Surgery Outcomes Reviewed