Primary care of nail traumas

Area of Science:

• Orthopedics
• Trauma Surgery
• Dermatology

Background:

• Nail complex injuries are frequent in both pediatric and adult populations.
• These injuries frequently involve the paraungueal tissues, fingertip, and underlying bone.
• Prompt, specialized primary care is crucial for mitigating sequelae often challenging for secondary repair.

Purpose of the Study:

• To review the current knowledge regarding nail bed lacerations and defects.
• To compare existing literature with the authors' clinical experience.
• To introduce an original technique for nail restoration in cases of distal amputation.

Main Methods:

• Comprehensive literature review on nail bed injuries.
• Analysis of clinical cases and surgical outcomes.
• Description and illustration of a novel technique for nail length restoration.

Main Results:

• Nail bed injuries present a significant challenge in primary care.
• Secondary repairs for nail complex injuries are often complex and less successful.
• The proposed technique demonstrates potential for effective nail length restoration in distal amputations.

Conclusions:

• Specialized primary care is essential for optimal management of nail complex injuries.
• Early intervention can significantly improve outcomes and reduce the need for complex secondary procedures.
• The presented technique offers a promising approach to restoring nail length and function after fingertip loss.