J hand surg am.
Nail bed repair suture.
Repair the nail bed laceration with dissolvable sutures fast gut or chromic.
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.
Just because a nail bed laceration is present it doesn t mean nail removal with obligate repair is indicated.
Suture the nail bed if a large subungual hematoma is associated with an unstable or avulsed nail.
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.
This video outlines the conventional method for nail bed injury repair stenting.
The fingernail has to be relatively still adherent to the nailbed.
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.
Rct has demonstrated quicker repair time using 2 octylcyanoacrylate dermabond instead of suture with comparable cosmetic and functional results.
This video and other videos photos a.
Weinand c et al.
Follow up images are also included.
Nail bed repair.
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.
Good outcome depends on maintaining the space under the cuticle where the new nail will grow out from the germinal matrix.
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 nail was removed the damaged distal portion was trimmed and the native nail was reinserted and anchored with a single suture.
If this area scars down a new nail will not grow.
A prospective randomized controlled trial of 2 octylcyanoacrylate versus suture repair for nail bed injuries.
Repair nail bed with 6 0 or smaller absorbable suture.