Nailbed lacerations are often sustained by a major crush injury resulting in a stellate and irregular laceration pattern.
Dermabond nail bed repair.
Soak nail in betadine while repairing nail bed.
However the study did find a difference in the time it took providers to complete the repair.
Cannon b et al.
Post updated may 26 2014 22 47 pst 1.
A study in 2008 used dermabond for nail bed laceration repair showed similar follow up cosmetic and functional outcomes.
J hand surg am.
The actual nail bed repair should be accomplished with absorbable sutures usually 6 0 size.
It was a small study with only 40 patients and repair was done by orthopedic residents but definitely a consideration.
Nail bed repair with dermabond and likely all tissue adhesive glues may be a reasonable alternative to sutures for both nail bed laceration repair itself as well as to hold the nail in place.
Not every nail bed laceration requires nail removal and repair.
Ok so i removed the nail to repair the nail bed laceration.
This typically also requires the crushed fingernail to be removed.
Just because a nail bed laceration is present it doesn t mean nail removal with obligate repair is indicated.
The use of 2 octylcyanoacrylate dermabond for the treatment of nail bed injuries in children.
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.
One injection or two.
Results of a prospective series of 30 patients november 2009 journal of children s orthopaedics 4.
Rct has demonstrated quicker repair time using 2 octylcyanoacrylate dermabond instead of suture with comparable cosmetic and functional results.
Strauss e weil w jordan c paksima n.
Comparison of nail bed repair versus nail trephination for subungual hematomas in children.
The key to success is achieving hemostasis and making sure.
Double dorsal versus single volar digital subcutaneous anaesthetic injection for finger injuries in the emergency department.
Amazingly i still see residents perform intricate repairs with nylon sutures that have to be removed.
Cosmesis is never ideal because pieces of the nailbed are often missing as seen in the photo above.
Over the years i have been frustrated by how inelegant finger nailbed closure is.
Martin sp et al.
Using dermabond took about 1 3 of the time.
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.
Check out more details on the technique at dr.
