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. There are also nail bed injuries that affect more than your nail bed such as a fingertip fracture or amputation. Wong would do differently the next time she tackles a similar repair all in under five minutes. 1 there is controversy about how to repair nail bed lacerations.

If this area scars down a new nail will not grow. Nail bed repair repairing a nail bed injury will differ depending on the type of. Good outcome depends on maintaining the space under the cuticle where the new nail will grow out from the germinal matrix. However current evidence and.

Not every nail bed laceration requires nail removal and repair. Enjoy the videos and music you love upload original content and share it all with friends family and the world on youtube. 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. This technique is.

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. In this second segment we ll further delve in to some of the evidence and novel techniques regarding management of nail bed injuries. 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. Treatment nail removal with d i nail bed repair.

Tetanus and antibiotic prophylaxis. 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. Nail bed repair. Nail bed repair see techniques nail bed lacerations.

A hand surgeon was consulted to aid in repair of this complex injury. In this brief video resident kelly wong and attending nick musisca demonstrate and discuss the appropriate management of nail bed lacerations. Just because a nail bed laceration is present it doesn t mean nail removal with obligate repair is indicated.