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Nail re-growth in fingertip injuries
M O'Shaughnessy1, J McCann, T P O'Connor
1Department of Plastic Surgery, University College and Regional Hospital, Wilton, Cork.
Irish Medical Journal
|December 1, 1990
Summary
For fingertip injuries, nail re-growth and appearance are not affected by replacing the nail. The severity of the original crush injury and accuracy of nailbed repair are key to outcomes.
Area of Science:
- Trauma Surgery
- Hand Surgery
- Orthopedics
Background:
- Fingertip injuries are common, often involving the nail and nailbed.
- Management of nailbed injuries can impact long-term cosmetic and functional outcomes.
Purpose of the Study:
- To compare nail re-growth and appearance after fingertip injuries based on nail management.
- To identify key determinants of outcomes in nailbed injuries.
Main Methods:
- Retrospective study of 64 fingertip injuries over one year.
- Group A: Trimmed/replaced nail; Group B: Missing/removed nail.
- Comparison of nail re-growth and appearance between groups.
Main Results:
- No statistically significant difference in nail re-growth or appearance between groups.
- Direct correlation found between final outcome and degree of crush injury.
- Severity of injury and accuracy of primary nailbed repair were primary determinants of outcome.
Conclusions:
- Non-replacement of the nail does not adversely affect nail re-growth or appearance.
- Nailbed injury outcomes are primarily determined by the severity of the initial trauma and the quality of primary surgical repair.