Strauss e weil w jordan c paksima n.
Dermabond nail bed repair.
The key to success is achieving hemostasis and making sure.
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.
Ok so i removed the nail to repair the nail bed laceration.
Double dorsal versus single volar digital subcutaneous anaesthetic injection for finger injuries in the emergency department.
Nailbed lacerations are often sustained by a major crush injury resulting in a stellate and irregular laceration pattern.
Using dermabond took about 1 3 of the time.
It was a small study with only 40 patients and repair was done by orthopedic residents but definitely a consideration.
This typically also requires the crushed fingernail to be removed.
Cannon b et al.
One injection or two.
The use of 2 octylcyanoacrylate dermabond for the treatment of nail bed injuries in children.
A prospective randomized controlled trial of 2 octylcyanoacrylate.
Check out more details on the technique at dr.
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.
Martin sp et al.
9 5 minutes using dermabond and 27 8 minutes using sutures.
J hand surg am.
Rct has demonstrated quicker repair time using 2 octylcyanoacrylate dermabond instead of suture with comparable cosmetic and functional results.
The actual nail bed repair should be accomplished with absorbable sutures usually 6 0 size.
Not every nail bed laceration requires nail removal and repair.
Roser se gellman h.
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.
Just because a nail bed laceration is present it doesn t mean nail removal with obligate repair is indicated.
Over the years i have been frustrated by how inelegant finger nailbed closure is.
Repair nail bed with 6 0 or smaller absorbable suture.
Amazingly i still see residents perform intricate repairs with nylon sutures that have to be removed.
Soak nail in betadine while repairing nail bed.
Cosmesis is never ideal because pieces of the nailbed are often missing as seen in the photo above.
Results of a prospective series of 30 patients november 2009 journal of children s orthopaedics 4.
A study in 2008 used dermabond for nail bed laceration repair showed similar follow up cosmetic and functional outcomes.
