Dermabond Nail Bed Repair

Soak nail in betadine while repairing nail bed.

Dermabond nail bed repair.

The actual nail bed repair should be accomplished with absorbable sutures usually 6 0 size. If the nail is firmly adherent and disruption of surrounding tissue is minimal there is likely to be a good cosmetic outcome without primary nail bed repair. Using dermabond took about 1 3 of the time. Post updated may 26 2014 22 47 pst 1.

The key to success is achieving hemostasis and making sure. Now i am having difficulty suturing it back in place. Repair nail bed with 6 0 or smaller absorbable suture. Over the years i have been frustrated by how inelegant finger nailbed closure is.

Roser se gellman h. Amazingly i still see residents perform intricate repairs with nylon sutures that have to be removed. Cannon b et al. Cosmesis is never ideal because pieces of the nailbed are often missing as seen in the photo above.

Just because a nail bed laceration is present it doesn t mean nail removal with obligate repair is indicated. Nailbed lacerations are often sustained by a major crush injury resulting in a stellate and irregular laceration pattern. The use of 2 octylcyanoacrylate dermabond for the treatment of nail bed injuries in children. Results of a prospective series of 30 patients november 2009 journal of children s orthopaedics 4.

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. Martin sp et al. Double dorsal versus single volar digital subcutaneous anaesthetic injection for finger injuries in the emergency department. 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.

A prospective randomized controlled trial of 2 octylcyanoacrylate. 9 5 minutes using dermabond and 27 8 minutes using sutures. Ok so i removed the nail to repair the nail bed laceration. J hand surg am.

This typically also requires the crushed fingernail to be removed. However the study did find a difference in the time it took providers to complete the repair. Comparison of nail bed repair versus nail trephination for subungual hematomas in children. Not every nail bed laceration requires nail removal and repair.

Strauss e weil w jordan c paksima n. Rct has demonstrated quicker repair time using 2 octylcyanoacrylate dermabond instead of suture with comparable cosmetic and functional results. One injection or two.