Dermabond Nail Bed Repair

Comparison of nail bed repair versus nail trephination for subungual hematomas in children.

Dermabond nail bed repair.

Soak nail in betadine while repairing nail bed. Post updated may 26 2014 22 47 pst 1. Now i am having difficulty suturing it back in place. Check out more details on the technique at dr.

Repair nail bed with 6 0 or smaller absorbable suture. Ok so i removed the nail to repair the nail bed laceration. 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.

However the study did find a difference in the time it took providers to complete the repair. Cannon b et al. One injection or two. Not every nail bed laceration requires nail removal and repair.

Using dermabond took about 1 3 of the time. This typically also requires the crushed fingernail to be removed. A study in 2008 used dermabond for nail bed laceration repair showed similar follow up cosmetic and functional outcomes. Roser se gellman h.

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

The use of 2 octylcyanoacrylate dermabond for the treatment of nail bed injuries in children. 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. The key to success is achieving hemostasis and making sure. J hand surg am.

A prospective randomized controlled trial of 2 octylcyanoacrylate. 9 5 minutes using dermabond and 27 8 minutes using sutures. Amazingly i still see residents perform intricate repairs with nylon sutures that have to be removed. Nailbed lacerations are often sustained by a major crush injury resulting in a stellate and irregular laceration pattern.

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. The actual nail bed repair should be accomplished with absorbable sutures usually 6 0 size.