Trauma to the nail complex

Abstract

Objectiveto analyze the results from surgical intervention to treat trauma of the nail complex.Methodswe retrospectively reviewed a series of 94 consecutive patients with trauma of the nail complex who were treated between 2000 and 2009. In 42 patients, nail bed suturing was performed. In 27 patients, nail bed suturing was performed subsequent to osteosynthesis of the distal phalanx. In 15, immediate grafting was performed, and in 10, late-stage grafting of the nail bed. The growth, size and shape of the nail were evaluated in comparison with the contralateral finger. The results were obtained by summing scores and classifying them as good, fair or poor.Resultsthe results were considered to be good particularly in the patients who underwent nail bed suturing or nail bed suturing with osteosynthesis of the distal phalanx. Patients who underwent immediate or late-stage nail grafting had poor results.Conclusiontrauma of the nail complex without loss of substance presented better results than did deferred treatment for reconstruction of the nail complex.

Polypropylene prosthesis for the treatment of fingertip injuries. Description of surgical technique and results

“…The score table proposed by Jefferson, 6 which included three factors ( Table 2 ), was used for better evaluation of the results. The following variables were considered: nail growth (0 = no growth; 1 = partial growth with plate arrest; and 2 = normal growth), nail size (0 ≤ 50%; 1 = between 50% and 75%; and 2 ≥ 75% of the size of the nail on the opposite side); and the shape of the nail (0 = significant deformation in the vertical plane; 1 = minor deformation in the vertical plane; and 2 = no deformity), compared with the opposite side.…”

“…Transverse injuries of the distal third of the distal phalanx are usually treated with Kutler or Atasoy V-Y advancement flaps. 6 , 11 , 12 The great challenge is volar oblique injuries, which affect a large extension of the digital pulp and, unlike transverse injuries, do not allow local skin advance. For more complex cases, countless flap techniques have been described in the literature; however, there is no consensus on what would be the best for each type of injury.…”

Fractura osteocondral abierta del penacho de la falange distal en punta de dedo en niños: una lesión frecuentemente no diagnosticada

“…La correcta valoración en urgencias puede definir la gravedad de la lesión, determinar la necesidad de tratamiento especializado y evitar así las secuelas definitivas. Se ha demostrado que los mejores resultados estéticos y funcionales se obtienen cuando se realiza un correcto tratamiento 1,8,9 .…”

“…Las lesiones complejas con pérdida de sustancia (amputación) y las fracturas abiertas requieren cirugía. Por otro lado, las laceraciones -que pueden estar asociadas con lesiones neurológicas y tendinosas o lesiones del aparato ungueal-pueden tratarse de forma conservadora o quirúrgica [9][10][11][12][13] .…”

Mão traumatizada – Atualização no primeiro atendimento

“…Aseptic drainage of subungual hematomas that cover more than 25% of the bed is recommended, although some authors mention 50%. 21 22 23 Hematomas greater than 50% associated with a fracture suggest bed injury, and removal of the nail is considered for repair with fine suture threads (of 6.0 or 7.0), which provides adequate growth and adherence of the nail. The use of magnification is advised due to the fragility of the structures.…”