Nail Bed Repair Suture

Carefully perform a distal neurovascular exam.

Nail bed repair suture.

Suture the nail bed if a large subungual hematoma is associated with an unstable or avulsed nail. 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. Good outcome depends on maintaining the space under the cuticle where the new nail will grow out from the germinal matrix.

A prospective randomized controlled trial of 2 octylcyanoacrylate versus suture repair for nail bed injuries. J hand surg am. Another reattached nail is seen here anchored by a single suture in the proximal nail bed. Repair nail bed with 6 0 or smaller absorbable suture.

This video and other videos photos a. Nail bed repair. A comparison of complications in 400 patients after native nail versus silicone nail splints for fingernail splinting after injuries. Follow up images are also included.

Rct has demonstrated quicker repair time using 2 octylcyanoacrylate dermabond instead of suture with comparable cosmetic and functional results. If this area scars down a new nail will not grow. 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.

The fingernail has to be relatively still adherent to the nailbed. As seen in the video in part i a repair with side anchor sutures led to early dehiscence of the stent. Soak nail in betadine while repairing nail bed. Nailbed repair through fingernail.

This nail was removed the damaged distal portion was trimmed and the native nail was reinserted and anchored with a single suture. This technique requires that the fingernail has a simple linear laceration through it. Repair the nail bed laceration with dissolvable sutures fast gut or chromic. A prospective randomized controlled trial of 2 octylcyanoacrylate versus suture repair for nail bed injuries.

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.