Dermabond Nail Bed Repair

This typically also requires the crushed fingernail to be removed.

Dermabond nail bed repair.

The use of 2 octylcyanoacrylate dermabond for the treatment of nail bed injuries in children. 9 5 minutes using dermabond and 27 8 minutes using sutures. However the study did find a difference in the time it took providers to complete the repair. Ok so i removed the nail to repair the nail bed laceration.

Over the years i have been frustrated by how inelegant finger nailbed closure is. J hand surg am. Soak nail in betadine while repairing nail bed. Now i am having difficulty suturing it back in place.

Not every nail bed laceration requires nail removal and repair. 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. Check out more details on the technique at dr. A prospective randomized controlled trial of 2 octylcyanoacrylate.

Repair nail bed with 6 0 or smaller absorbable suture. 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. Comparison of nail bed repair versus nail trephination for subungual hematomas in children.

Nailbed lacerations are often sustained by a major crush injury resulting in a stellate and irregular laceration pattern. Roser se gellman h. Strauss e weil w jordan c paksima n. Cannon b et al.

It was a small study with only 40 patients and repair was done by orthopedic residents but definitely a consideration. 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. Double dorsal versus single volar digital subcutaneous anaesthetic injection for finger injuries in the emergency department. One injection or two.

Martin sp et al. The actual nail bed repair should be accomplished with absorbable sutures usually 6 0 size. Rct has demonstrated quicker repair time using 2 octylcyanoacrylate dermabond instead of suture with comparable cosmetic and functional results. Just because a nail bed laceration is present it doesn t mean nail removal with obligate repair is indicated.

A study in 2008 used dermabond for nail bed laceration repair showed similar follow up cosmetic and functional outcomes. Results of a prospective series of 30 patients november 2009 journal of children s orthopaedics 4. Amazingly i still see residents perform intricate repairs with nylon sutures that have to be removed.