Nail Bed Repair Suture

The case below is a patient who sustained a fingertip laceration with an industrial skill saw.

Nail bed repair suture.

The fingernail has to be relatively still adherent to the nailbed. 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. 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. Repair the nail bed laceration with dissolvable sutures fast gut or chromic. If this area scars down a new nail will not grow. Nail bed repair.

Just because a nail bed laceration is present it doesn t mean nail removal with obligate repair is indicated. A comparison of complications in 400 patients after native nail versus silicone nail splints for fingernail splinting after injuries. This nail was removed the damaged distal portion was trimmed and the native nail was reinserted and anchored with a single suture. This video outlines the conventional method for nail bed injury repair stenting.

Suture the nail bed if a large subungual hematoma is associated with an unstable or avulsed nail. Nailbed repair through fingernail. Not every nail bed laceration requires nail removal and repair. J hand surg am.

Good outcome depends on maintaining the space under the cuticle where the new nail will grow out from the germinal matrix. Follow up images are also included. A prospective randomized controlled trial of 2 octylcyanoacrylate versus suture repair for nail bed injuries. A prospective randomized controlled trial of 2 octylcyanoacrylate versus suture repair for nail bed injuries.

J hand surg am. 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. Soak nail in betadine while repairing nail bed. Rct has demonstrated quicker repair time using 2 octylcyanoacrylate dermabond instead of suture with comparable cosmetic and functional results.

This technique requires that the fingernail has a simple linear laceration through it.