Nail Bed Repair Suture

J hand surg am.

Nail bed repair suture.

Nailbed repair through fingernail. 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. Another reattached nail is seen here anchored by a single suture in the proximal nail bed.

Follow up images are also included. If this area scars down a new nail will not grow. Suture the nail bed if a large subungual hematoma is associated with an unstable or avulsed nail. 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.

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. The case below is a patient who sustained a fingertip laceration with an industrial skill saw. Not every nail bed laceration requires nail removal and repair. Soak nail in betadine while repairing nail bed.

Good outcome depends on maintaining the space under the cuticle where the new nail will grow out from the germinal matrix. This video and other videos photos a. This video outlines the conventional method for nail bed injury repair stenting. Just because a nail bed laceration is present it doesn t mean nail removal with obligate repair is indicated.

Weinand c et al. A prospective randomized controlled trial of 2 octylcyanoacrylate versus suture repair for nail bed injuries. Rct has demonstrated quicker repair time using 2 octylcyanoacrylate dermabond instead of suture with comparable cosmetic and functional results. This nail was removed the damaged distal portion was trimmed and the native nail was reinserted and anchored with a single suture.

As seen in the video in part i a repair with side anchor sutures led to early dehiscence of the stent. Nail bed repair. This technique requires that the fingernail has a simple linear laceration through it. Repair nail bed with 6 0 or smaller absorbable suture.

The fingernail has to be relatively still adherent to the nailbed.