Nailbed repair through fingernail.
Nail bed repair suture.
Just because a nail bed laceration is present it doesn t mean nail removal with obligate repair is indicated.
Repair the nail bed laceration with dissolvable sutures fast gut or chromic.
This technique requires that the fingernail has a simple linear laceration through it.
If the nail is firmly adherent and disruption of surrounding tissue is minimal there is likely to be a good cosmetic outcome without primary nail bed repair.
A comparison of complications in 400 patients after native nail versus silicone nail splints for fingernail splinting after injuries.
A prospective randomized controlled trial of 2 octylcyanoacrylate versus suture repair for nail bed injuries.
This nail was removed the damaged distal portion was trimmed and the native nail was reinserted and anchored with a single suture.
Repair any other associated lacerations on the finger which can be done with nonabsorbable sutures for any lacerations outside of the nail bed if the child will tolerate removal in clinic setting.
Weinand c et al.
If this area scars down a new nail will not grow.
This video outlines the conventional method for nail bed injury repair stenting.
This video and other videos photos a.
The case below is a patient who sustained a fingertip laceration with an industrial skill saw.
A prospective randomized controlled trial of 2 octylcyanoacrylate versus suture repair for nail bed injuries.
Not every nail bed laceration requires nail removal and repair.
Repair nail bed with 6 0 or smaller absorbable suture.
J hand surg am.
J hand surg am.
Carefully perform a distal neurovascular exam.
Rct has demonstrated quicker repair time using 2 octylcyanoacrylate dermabond instead of suture with comparable cosmetic and functional results.
Good outcome depends on maintaining the space under the cuticle where the new nail will grow out from the germinal matrix.
Suture the nail bed if a large subungual hematoma is associated with an unstable or avulsed nail.
Soak nail in betadine while repairing nail bed.
Nail bed repair.
As seen in the video in part i a repair with side anchor sutures led to early dehiscence of the stent.