Nail Bed Repair Suture

A prospective randomized controlled trial of 2 octylcyanoacrylate versus suture repair for nail bed injuries.

Nail bed repair suture.

This technique requires that the fingernail has a simple linear laceration through it. A prospective randomized controlled trial of 2 octylcyanoacrylate versus suture repair for nail bed injuries. If this area scars down a new nail will not grow. Follow up images are also included.

This video and other videos photos a. This nail was removed the damaged distal portion was trimmed and the native nail was reinserted and anchored with a single suture. Good outcome depends on maintaining the space under the cuticle where the new nail will grow out from the germinal matrix. Repair the nail bed laceration with dissolvable sutures fast gut or chromic.

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. Not every nail bed laceration requires nail removal and repair. Nailbed repair through fingernail. Soak nail in betadine while repairing nail bed.

J hand surg am. Rct has demonstrated quicker repair time using 2 octylcyanoacrylate dermabond instead of suture with comparable cosmetic and functional results. The case below is a patient who sustained a fingertip laceration with an industrial skill saw. Nail bed repair.

A comparison of complications in 400 patients after native nail versus silicone nail splints for fingernail splinting after injuries. As seen in the video in part i a repair with side anchor sutures led to early dehiscence of the stent. J hand surg am. The fingernail has to be relatively still adherent to the nailbed.

Weinand c et al. Repair nail bed with 6 0 or smaller absorbable suture. Carefully perform a distal neurovascular exam. Suture the nail bed if a large subungual hematoma is associated with an unstable or avulsed nail.

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