Nail Bed Repair Suture

This video outlines the conventional method for nail bed injury repair stenting.

Nail bed repair suture.

Repair nail bed with 6 0 or smaller absorbable suture. Follow up images are also included. The case below is a patient who sustained a fingertip laceration with an industrial skill saw. Carefully perform a distal neurovascular exam.

Good outcome depends on maintaining the space under the cuticle where the new nail will grow out from the germinal matrix. A prospective randomized controlled trial of 2 octylcyanoacrylate versus suture repair for nail bed injuries. 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. Soak nail in betadine while repairing nail bed.

A comparison of complications in 400 patients after native nail versus silicone nail splints for fingernail splinting after injuries. Rct has demonstrated quicker repair time using 2 octylcyanoacrylate dermabond instead of suture with comparable cosmetic and functional results. Not every nail bed laceration requires nail removal and repair. J hand surg am.

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. This nail was removed the damaged distal portion was trimmed and the native nail was reinserted and anchored with a single suture. 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. Weinand c et al. As seen in the video in part i a repair with side anchor sutures led to early dehiscence of the stent. A prospective randomized controlled trial of 2 octylcyanoacrylate versus suture repair for nail bed injuries.

Nailbed repair through fingernail. J hand surg am. If this area scars down a new nail will not grow. This technique requires that the fingernail has a simple linear laceration through it.

Just because a nail bed laceration is present it doesn t mean nail removal with obligate repair is indicated.