Nail Bed Repair Suture

Carefully perform a distal neurovascular exam.

Nail bed repair suture.

This nail was removed the damaged distal portion was trimmed and the native nail was reinserted and anchored with a single suture. J hand surg am. Weinand c et al. A comparison of complications in 400 patients after native nail versus silicone nail splints for fingernail splinting after injuries.

Nailbed repair through fingernail. 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 fingernail has to be relatively still adherent to the nailbed. 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. Suture the nail bed if a large subungual hematoma is associated with an unstable or avulsed nail. Nail bed repair. Just because a nail bed laceration is present it doesn t mean nail removal with obligate repair is indicated.

A prospective randomized controlled trial of 2 octylcyanoacrylate versus suture repair for nail bed injuries. 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. Repair the nail bed laceration with dissolvable sutures fast gut or chromic.

Repair nail bed with 6 0 or smaller absorbable suture. If this area scars down a new nail will not grow. 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 video and other videos photos a. Good outcome depends on maintaining the space under the cuticle where the new nail will grow out from the germinal matrix. This technique requires that the fingernail has a simple linear laceration through it. J hand surg am.

Follow up images are also included.