Nail Bed Repair Suture

Carefully perform a distal neurovascular exam.

Nail bed repair suture.

Not every nail bed laceration requires nail removal and repair. Nailbed repair through fingernail. 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. A comparison of complications in 400 patients after native nail versus silicone nail splints for fingernail splinting after injuries.

Just because a nail bed laceration is present it doesn t mean nail removal with obligate repair is indicated. This video outlines the conventional method for nail bed injury repair stenting. A prospective randomized controlled trial of 2 octylcyanoacrylate versus suture repair for nail bed injuries. Suture the nail bed if a large subungual hematoma is associated with an unstable or avulsed nail.

The fingernail has to be relatively still adherent to the nailbed. Rct has demonstrated quicker repair time using 2 octylcyanoacrylate dermabond instead of suture with comparable cosmetic and functional results. J hand surg am. This video and other videos photos a.

A prospective randomized controlled trial of 2 octylcyanoacrylate versus suture repair for nail bed injuries. Repair the nail bed laceration with dissolvable sutures fast gut or chromic. This nail was removed the damaged distal portion was trimmed and the native nail was reinserted and anchored with a single suture. The case below is a patient who sustained a fingertip laceration with an industrial skill saw.

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

Soak nail in betadine while repairing nail bed. Another reattached nail is seen here anchored by a single suture in the proximal nail bed. This technique requires that the fingernail has a simple linear laceration through it. Follow up images are also included.

J hand surg am.