Use of Modified Tension Band Sutures for Fingernail Disruptions

Patankar, Hemant

doi:10.1016/j.jhse.2007.05.019

Cited by 7 publications

(12 citation statements)

References 13 publications

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“…Our results were comparable to Patankar's series that had only two deformed nails due to shortening secondary to comminuted nature of fractures. He used K-wires for fracture stabilization 18. We found that our results were also comparable to that of Bindra who used this technique in his series of 19 fracture lacerations of fingertips with 100% good results.…”

Section: Discussionsupporting

confidence: 80%

“…There are also reports of poor results following conventional nail bed repair 1617. Patankar (2007) in his series used this technique for nail bed injuries, and if there was associated fracture of distal phalanx, he used a longitudinal retrograde K-wire for fracture stabilization 18. Use of transverse figure-of-eight sutures for the fixation of the avulsed nail is also recommended by some authors 19…”

Section: Discussionmentioning

confidence: 99%

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Results of vertical figure-of-eight tension band suture for finger nail disruptions with fractures of distal phalanx

Memon

2012

IJOO

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Background:Fingertip injuries involve varying degree of fractures of the distal phalanx and nail bed or nail plate disruptions. The treatment modalities recommended for these injuries include fracture fixation with K-wire and meticulous repair of nail bed after nail removal and later repositioning of nail or stent substitute into the nail fold by various methods. This study was undertaken to evaluate the functional outcome of vertical figure-of-eight tension band suture for finger nail disruptions with fractures of distal phalanx.Materials and Methods:A series of 40 patients aged between 4 and 58 years, with 43 fingernail disruptions and fracture of distal phalanges, were treated with vertical figure-of-eight tension band sutures without formal fixation of fracture fragments and the results were reviewed. In this method, the injuries were treated by thoroughly cleaning the wound, reducing the fracture fragments, anatomical replacement of nail plate, and securing it by vertical figure-of-eight tension band suture.Results:All patients were followed up for a minimum of 3 months. The clinical evaluation of the patients was based on radiological fracture union and painless pinch to determine fingertip stability. Every single fracture united and every fingertip was clinically stable at the time of final followup. We also evaluated our results based on visual analogue scale for pain and range of motion of distal interphalangeal joint. Two sutures had to be revised due to over tensioning and subsequent vascular compromise within minutes of repair; however, this did not affect the final outcome.Conclusion:This technique is simple, secure, and easily reproducible. It neither requires formal repair of injured nail bed structures nor fixation of distal phalangeal fracture and results in uncomplicated reformation of nail plate and uneventful healing of distal phalangeal fractures.

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Section: Discussionsupporting

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Results of vertical figure-of-eight tension band suture for finger nail disruptions with fractures of distal phalanx

Memon

2012

IJOO

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“…If the injury is proximal it may need additional procedures like two parallel K wire fixation or placing the nail plate as a splint and anchoring it with a figure of 8 suture to retain it in place. [2–4] [Figure 3]…”

Section: Types Of Injuriesmentioning

confidence: 99%

Nail bed injuries and deformities of nail

Bharathi¹,

Bajantri²

2011

Indian J Plast Surg

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“…Kalın olmayan (0,7-0,8 mm'lik) teller kullanımına ve mümkünse DIP eklemin geçilmemesine dikkat edilir. [32,34] Şekil 6. a, b. Tırnak yaralanmasına eşlik eden ayrılmış distal falanks kırıkları olan olgularımızda 8 şeklinde gergi bandı vertikal sütür teknikleri: K-teli kullanıılmadığında (a) ve K-teli varlığında (b).…”

Section: Erişkinde Açık Tırnak Yatağı Yaralanması Ile Birlikte Olan unclassified

“…Tedavileri çekiç parmaktaki gibi en az altı hafta ekstansiyonda atellenmedir. [34] Bu konuda daha ayrıntılı bilgi yazının sonraki bölümünde yer almaktadır.…”

Section: (A) (B)unclassified

Distal falanks kırıkları

Çolak¹

2014

TOTBID

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Epifizin diyafiz ile füzyonu 18-19 yaşlarda tamamlanır. Distal falanks, eklem yüzü barındıran geniş proksimal bölüm, daha dar olan cisim ve distalde tekrar genişleme gösteren tuft bölümlerinden oluşur. Cisim bölgesinde dorsal yüzey içbükey, voler yüz daha düzdür. Fleksör tendon falanksın voler proksimal ve lateral çıkıntılarına yapışır. Ekstansör tendon dorsal proksimaldeki çıkıntılı bölgeye yapışır. Parmak pulpası, tuft bölgesine yapışan bağ dokusu ağı ile hareketsizleşen bölmelere ayrılır. [1] Distal interfalangeal (DIP) menteşe tarzında bir eklemdir. Eklem kapsülü dorsalde genişleyen ekstansör tendon, her iki tarafta gerçek ve aksesuvar yan bağlar ve volerde voler plak ile desteklenir. Tüm yan bağlar orta falanks başından başlarlar. Gerçek yan bağlar distal falanks voler yan tüberküllerine yapışırken, aksesuvar E lin distal falanksları, vücudun en fazla travmaya maruz kalan bölgesidir. Travmanın mekanizmasına bağlı olarak, distal falanksta kırık ve bunun yanı sıra farklı şekil ve düzeylerde yumuşak doku hasarları ortaya çıkmaktadır. Tedavide iyi fonksiyonel sonuç elde etmek için bölge anatomisinin kavranması, kemik ve yumuşak doku hasarının dikkatle değerlendirilmesi ve uygun tedavi seçimi şarttır. BÖLGESEL ANATOMİ Distal falanks ve distal interfalangeal eklem anatomisi Diğer tüm falankslar gibi, distal falanksların epifizi proksimaldedir ve 3 yaş civarında kemikleşmeye başlar.

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Use of Modified Tension Band Sutures for Fingernail Disruptions

Cited by 7 publications

References 13 publications

Results of vertical figure-of-eight tension band suture for finger nail disruptions with fractures of distal phalanx

Results of vertical figure-of-eight tension band suture for finger nail disruptions with fractures of distal phalanx

Nail bed injuries and deformities of nail

Distal falanks kırıkları

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