14 results match your criteria: "Hand Nail Bed Laceration Repair"
Treatment Strategies for Acute Seymour Fractures in Children and Adolescents: Including Crushed Open Fractures.
Ann Plast Surg
October 2022
From the Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Chang Gung University and Medical College, Taoyuan City, Taiwan.
Article Synopsis
- The study focused on treatment strategies for Seymour fractures (SFs), dividing 26 patients treated between 2000 and 2019 into three categories based on the severity and presentation of their injuries.
- Treatment methods varied by category: K-wire fixation was used for typical acute SFs, while delayed presentations required irrigation and suturing, and severe crush injuries needed more complex repairs.
- Results showed overall satisfactory outcomes with minimal complications, though patients with the most severe injuries had slightly worse pain and mobility scores compared to those with less severe cases.
Rethinking the Need for Nail Plate Removal: A Comparison of the Risks Between Standard Nail Bed Repair and Nonoperative Management.
Ann Plast Surg
May 2022
From the Division of Plastic and Reconstructive Surgery, The Warren Alpert Medical School of Brown University, Providence, RI.
Article Synopsis
- - The study aimed to evaluate the outcomes of adult patients with nail bed lacerations treated either through formal nail bed repair or nonoperatively, questioning the necessity of nail plate removal for future nail deformity concerns.
- - A retrospective analysis included 78 adult patients with nail bed lacerations, showing no significant difference in the occurrence of nail deformities between those who underwent nail bed repair (23%) and those treated nonoperatively (13%).
- - The authors concluded that both treatment methods had similar outcomes regarding nail deformities and secondary issues like infection and patient-reported functionality, suggesting that nonoperative management might be a valid option.
Primary Management of Nail Bed and Fingertip Injuries in the Emergency Department.
Hand Clin
February 2021
Hand Surgery and Plastic Surgery, The Curtis National Hand Center, MedStar Union Memorial Hospital, 3333 N. Calvert Street, JPB 2nd floor, Baltimore, MD 21218, USA. Electronic address:
Article Synopsis
- Properly managing acute fingertip and nail bed injuries is essential to prevent long-term issues like chronic pain and deformity.
- Subungual hematomas can be effectively treated with a simple procedure called trephination to relieve pain.
- Nail bed lacerations can often be repaired with dissolvable sutures or a special adhesive, and many amputations can heal well on their own without surgical intervention.
Fingertip nail bed injuries in children: Comparison of suture repair versus glue (2-octylcyanoacrylate) with 1-year follow-up.
Hand Surg Rehabil
December 2020
Service de Chirurgie Orthopédique Infantile, Hôpital Lapeyronie, CHU Montpellier, Université de Montpellier, 191, Avenue du Doyen Gaston Giraud, 34925 Montpellier Cedex 5, France. Electronic address:
The main objective of this study was to compare the medium-term results of nail bed repair in children using glue (2-octylcyanoacrylate) versus absorbable sutures. The secondary objective was to compare the results of treatment in the emergency room versus the operating room. This retrospective review of 74 fingertip nail bed lacerations (68 children) evaluated the appearance and pain at the last follow-up visit (minimum of 1 year), and the operating time.
View Article and Find Full Text PDFArticle Synopsis
- * The Nail bed INJury Assessment Pilot (NINJA-P) is being conducted to compare two treatments for children under 16: replacing the nail after repair versus discarding it.
- * The study will evaluate outcomes such as complications, nail appearance, and pain levels, while also gathering data on eligibility and participant compliance for future research.
Management of simple nail bed lacerations and subungual hematomas in the emergency department.
Pediatr Emerg Care
October 2014
Pediatric Emergency Medicine Attending, Assistant Professor, Department of Pediatrics, Division of Pediatric Emergency Medicine, Children's Mercy Hospital & Clinics, University of Missouri-Kansas City, Kansas City, MO.
Article Synopsis
- * Nail bed injuries include various types, such as hematomas and lacerations, which require knowledgeable physicians for proper treatment to avoid long-term complications.
- * The article debates whether nail plate removal is necessary for laceration repairs or if simpler methods like trephination for hematomas are sufficient, emphasizing the need for effective management of these injuries.
[REPAIR OF THUMB PULP DEFECTS WITH SIDE ISLAND FLAP COINCIDING DORSAL BRANCH OF DIGITAL NERVE].
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi
July 2014
Article Synopsis
- The study aimed to evaluate the effectiveness of using a side island flap connected to the dorsal branch of the digital nerve for repairing defects in thumb pulp.
- Over a four-year period, 36 patients were treated for thumb pulp injuries caused by various incidents, with successful healing outcomes reported for 34 cases.
- The results showed good functional recovery and sensation in the repaired area, with high patient satisfaction regarding appearance and finger movement following the procedure.
Fingertip-nail bed injuries in children: current concepts and controversies of treatment.
J Craniofac Surg
July 2009
Department of Orthopaedic and Plastic Surgery, University of Miami, Miami, FL, USA.
Crush injuries of the fingertip are the most common hand injuries seen in children. Many involve fracture of the distal phalanx, whereas others result in either crush alone or complete or partial fingertip amputation. The need for nail removal and nail bed repair after crush injury to the fingertip has long been a matter of debate.
View Article and Find Full Text PDFA prospective, randomized, controlled trial of 2-octylcyanoacrylate versus suture repair for nail bed injuries.
J Hand Surg Am
February 2008
Department of Orthopaedic Surgery, NYU-Hospital for Joint Diseases, New York, NY 10016, USA.
Article Synopsis
- This study aimed to compare the effectiveness of 2-octylcyanoacrylate (Dermabond) versus standard sutures in repairing nail bed lacerations.
- Forty patients were involved, with 18 using Dermabond and 22 receiving suture repairs; repair times and outcomes were analyzed over a 6-month follow-up period.
- Results showed that Dermabond repair was significantly quicker than suture repair, yet both methods yielded similar cosmetic and functional results.
Use of modified tension band sutures for fingernail disruptions.
J Hand Surg Eur Vol
December 2007
Patankar's Hand & Limb Reconstruction Clinic, Chembur, Mumbai, Maharashtra, India.
Article Synopsis
- A study involving 66 patients aged 1 to 70 with finger nail injuries was conducted, focusing on 70 cases of disruptions.
- The treatment included cleaning the finger, draining blood accumulation, and repositioning the nail plate or a substitute using a modified suture technique, avoiding direct repair of the nail bed.
- This approach led to successful nail plate re-formation without complications, demonstrating that formal nail bed repair is unnecessary for nail disruptions in all age groups.
The use of chloramphenicol ointment as an adhesive for replacement of the nail plate after simple nail bed repairs.
J Hand Surg Br
December 2004
The Hand Unit, Nuffield Orthopaedic Centre, Oxford, Headington, UK.
Article Synopsis
- * The nail plate can be secured using various methods, commonly with sutures.
- * A recommended approach is using a small amount of chloramphenicol, which is not only simple and effective for securing the nail plate but also offers antibacterial benefits.
Comparison of nail bed repair versus nail trephination for subungual hematomas in children.
J Hand Surg Am
November 1999
Department of Orthopaedic Surgery, University of Arkansas for Medical Science, Little Rock 72205, USA.
Article Synopsis
- * Follow-up for both groups lasted over 2 years, revealing only minor complications in both, with some transient nail abnormalities in the operative group but no major differences in outcomes between the two methods.
- * The cost for the surgical group averaged $1,263, significantly higher than the $283 for the nonoperative group, leading researchers to suggest that nail removal and exploration may not be necessary for children with intact nails suffering from subungual hematomas.
Snowblower injuries to the hand.
Ann Plast Surg
October 1998
Division of Plastic Surgery, University of Illinois at Chicago and Cook County Hospital, 60612-7316, USA.
Article Synopsis
- A study reviewed injuries from snowblowers in 22 patients, primarily middle-aged men, with 86% affecting their dominant hand while attempting to clear a clogged machine.
- Most injuries occurred distal to the metacarpophalangeal joints, with phalangeal fractures being the most common, followed by nail bed injuries and amputations.
- The middle and ring fingers were the most frequently injured, highlighting the serious risk of snowblower-related accidents and the variety of damages to bones, tendons, and soft tissues.
Article Synopsis
- * It analyzed 47 patients with subungual hematomas covering more than 25% of the nail bed, discovering that those with fractures also had nail lacerations demanding repair.
- * Specifically, patients with hematomas exceeding 50% of the nail bed had a 60% chance of having a laceration, suggesting that exploration of the nail bed is necessary in these cases.