Vol - 28, Issue - 10
About the Journal
[This article belongs to Volume - 28, Issue - 10]
International Medical Journal
Journal ID : IMJ-10-10-2021-996
Total View : 442

Abstract : Nail bed avulsion injuries associated with distal phalanx fracture is a very common injury occurring in industrial workers dealing with heavy machines. Often patients come with open wound which needs through wash and reduction of fracture with k wire along with suturing of the nail bed. The study was conducted on 20 patients with nail bed avulsion injury with or without distal phalanx fracture. Patients were treated by vertical figure of 8 suturing of nail plate with the nail bed and reduction/fixation of the distal phalanx with a retrograde k-wire. Patients were followed up periodically at weekly interval up to 3months. This technique maintains good contact between the nail plate and matrix, preventing the nail plate from any further movement. The vertical fig of 8 suturing method utilizes the nail plate and the nail bed to take suture and secure the nail. The vertical fig of 8 suturing method protects the nail from any unwanted movement, thereby preventing any further trauma to the nail bed and helps in splinting of the associated fracture of the distal phalanx. It's straightforward, reliable, and effortlessly tutored to surgeons of any speciality. This technique can even be done when the eponychium is not intact. It's a helpful technique for anyone dealing with nail bed avulsion injury with or without distal phalanx injuries.

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