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Trauma to the nail complex.

Jefferson Braga Silva1, Samanta Gerhardt2

  • 1Hand Surgery and Reconstructive Microsurgery Service, Hospital São Lucas, Pontifícia Universidade Católica do Rio Grande do Sul (PUC-RS), Porto Alegre, RS, Brazil ; Faculdade de Medicina da Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, Brazil.

Revista Brasileira De Ortopedia
|August 1, 2015
PubMed
Summary
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Surgical repair of nail complex trauma yields best results with nail bed suturing, with or without distal phalanx osteosynthesis. Nail grafting procedures, whether immediate or delayed, resulted in poorer outcomes for patients.

Area of Science:

  • Orthopedic Surgery
  • Trauma Care
  • Nail Reconstruction

Background:

  • Trauma to the nail complex is a common injury.
  • Effective treatment is crucial for restoring function and aesthetics.
  • Various surgical interventions exist, each with potential outcomes.

Purpose of the Study:

  • To analyze and compare the outcomes of different surgical interventions for nail complex trauma.
  • To identify the most effective surgical techniques for treating nail bed injuries.

Main Methods:

  • Retrospective review of 94 patients treated for nail complex trauma (2000-2009).
  • Surgical interventions included nail bed suturing, nail bed suturing with distal phalanx osteosynthesis, immediate grafting, and late-stage grafting.
  • Nail growth, size, and shape were evaluated and compared to the contralateral digit.
Keywords:
Finger injuriesNailNail bed

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Main Results:

  • Nail bed suturing, with or without osteosynthesis, yielded good results.
  • Immediate or late-stage nail grafting procedures resulted in poor outcomes.
  • Trauma without substance loss showed better results with primary repair.

Conclusions:

  • Nail bed suturing is a superior technique for nail complex trauma without significant substance loss.
  • Deferred treatment involving grafting is less effective than primary repair.
  • Surgical technique significantly impacts the functional and aesthetic recovery of the nail complex.