Nail Bed Repair Technique

1 if a distal phalanx fracture is present there is a 95 chance of a nail bed laceration.

Nail bed repair technique.

Suture the nail bed if a large subungual hematoma is associated with an unstable or avulsed nail. In part i of this post i gave an example of a nail bed laceration that was closed in my ed using fairly traditional methods and teaching. 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. 1 there is controversy about how to repair nail bed lacerations.

Wong would do differently the next time she tackles a similar repair all in under five minutes. However current evidence and. They review the medical management suture technique and post ed care including things dr. If a subungual hematoma involves more than half the nail plate there is a 60 chance of a nail bed laceration and a high likelihood of fracture.

Good outcome depends on maintaining the space under the cuticle where the new nail will grow out from the germinal matrix. Not every nail bed laceration requires nail removal and repair. Laceration of the nail and underlying nail bed usually present with the nail intact and a subungual hematoma greater than 50 of nail surface area. Just because a nail bed laceration is present it doesn t mean nail removal with obligate repair is indicated.

In this brief video resident kelly wong and attending nick musisca demonstrate and discuss the appropriate management of nail bed lacerations. Tetanus and antibiotic prophylaxis. A hand surgeon was consulted to aid in repair of this complex injury. If this area scars down a new nail will not grow.

In this second segment we ll further delve in to some of the evidence and novel techniques regarding management of nail bed injuries. This technique is. Treatment nail removal with d i nail bed repair. Enjoy the videos and music you love upload original content and share it all with friends family and the world on youtube.

In the presence of a subungual hematoma of at least 50 percent they recommend removal of the nail with exploration for nail bed laceration and if found primary repair. If the nail plate is unavailable or too badly damaged for a portion of it to be replaced see the image below a nail shaped sheet of reinforced silicone or a sterile petroleum gauze may be placed as a sterile dressing within the nail fold as a substitute after nail bed repair. Nail bed repair repairing a nail bed injury will differ depending on the type of.