Nail Bed Repair Suture

A comparison of complications in 400 patients after native nail versus silicone nail splints for fingernail splinting after injuries.

Nail bed repair suture.

J hand surg am. Not every nail bed laceration requires nail removal and repair. The case below is a patient who sustained a fingertip laceration with an industrial skill saw. Just because a nail bed laceration is present it doesn t mean nail removal with obligate repair is indicated.

Follow up images are also included. Another reattached nail is seen here anchored by a single suture in the proximal nail bed. J hand surg am. This video outlines the conventional method for nail bed injury repair stenting.

If this area scars down a new nail will not grow. Good outcome depends on maintaining the space under the cuticle where the new nail will grow out from the germinal matrix. Repair nail bed with 6 0 or smaller absorbable suture. Soak nail in betadine while repairing nail bed.

The fingernail has to be relatively still adherent to the nailbed. Nail bed repair. 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. Rct has demonstrated quicker repair time using 2 octylcyanoacrylate dermabond instead of suture with comparable cosmetic and functional results.

Weinand c et al. This nail was removed the damaged distal portion was trimmed and the native nail was reinserted and anchored with a single suture. This video and other videos photos a. A prospective randomized controlled trial of 2 octylcyanoacrylate versus suture repair for nail bed injuries.

Carefully perform a distal neurovascular exam. As seen in the video in part i a repair with side anchor sutures led to early dehiscence of the stent. Repair the nail bed laceration with dissolvable sutures fast gut or chromic. Suture the nail bed if a large subungual hematoma is associated with an unstable or avulsed nail.

Nailbed repair through fingernail.