Martin sp et al.
Dermabond nail bed repair.
Check out more details on the technique at dr.
One injection or two.
Cannon b et al.
Cosmesis is never ideal because pieces of the nailbed are often missing as seen in the photo above.
A prospective randomized controlled trial of 2 octylcyanoacrylate.
J hand surg am.
Soak nail in betadine while repairing nail bed.
Double dorsal versus single volar digital subcutaneous anaesthetic injection for finger injuries in the emergency department.
Not every nail bed laceration requires nail removal and repair.
However the study did find a difference in the time it took providers to complete the repair.
It was a small study with only 40 patients and repair was done by orthopedic residents but definitely a consideration.
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.
This typically also requires the crushed fingernail to be removed.
The key to success is achieving hemostasis and making sure.
Comparison of nail bed repair versus nail trephination for subungual hematomas in children.
A study in 2008 used dermabond for nail bed laceration repair showed similar follow up cosmetic and functional outcomes.
The actual nail bed repair should be accomplished with absorbable sutures usually 6 0 size.
Results of a prospective series of 30 patients november 2009 journal of children s orthopaedics 4.
Post updated may 26 2014 22 47 pst 1.
Just because a nail bed laceration is present it doesn t mean nail removal with obligate repair is indicated.
Nailbed lacerations are often sustained by a major crush injury resulting in a stellate and irregular laceration pattern.
The use of 2 octylcyanoacrylate dermabond for the treatment of nail bed injuries in children.
Rct has demonstrated quicker repair time using 2 octylcyanoacrylate dermabond instead of suture with comparable cosmetic and functional results.
Replacing the nail is the easiest way to protect the healing nail bed pack the nail fold and provide a natural splint for the healing injury.
Strauss e weil w jordan c paksima n.
Roser se gellman h.
9 5 minutes using dermabond and 27 8 minutes using sutures.
Repair nail bed with 6 0 or smaller absorbable suture.
Now i am having difficulty suturing it back in place.
Over the years i have been frustrated by how inelegant finger nailbed closure is.
Using dermabond took about 1 3 of the time.
