Nail Bed Repair Suture

Carefully perform a distal neurovascular exam.

Nail bed repair suture.

Follow up images are also included. A prospective randomized controlled trial of 2 octylcyanoacrylate versus suture repair for nail bed injuries. 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. This video outlines the conventional method for nail bed injury repair stenting.

This technique requires that the fingernail has a simple linear laceration through it. This video and other videos photos a. Suture the nail bed if a large subungual hematoma is associated with an unstable or avulsed nail. J hand surg am.

Repair nail bed with 6 0 or smaller absorbable suture. A comparison of complications in 400 patients after native nail versus silicone nail splints for fingernail splinting after injuries. The case below is a patient who sustained a fingertip laceration with an industrial skill saw. Weinand c et al.

Nail bed repair. This nail was removed the damaged distal portion was trimmed and the native nail was reinserted and anchored with a single suture. The fingernail has to be relatively still adherent to the nailbed. Just because a nail bed laceration is present it doesn t mean nail removal with obligate repair is indicated.

Another reattached nail is seen here anchored by a single suture in the proximal nail bed. Not every nail bed laceration requires nail removal and repair. As seen in the video in part i a repair with side anchor sutures led to early dehiscence of the stent. 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. Rct has demonstrated quicker repair time using 2 octylcyanoacrylate dermabond instead of suture with comparable cosmetic and functional results. Repair the nail bed laceration with dissolvable sutures fast gut or chromic. 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.

Nailbed repair through fingernail.