Avulsion Injuries of the Nail Bed Do Not Need Nail Bed Graft

Ogunro, Olayinka; Ogunro, Shade

doi:10.1097/bth.0b013e318030a566

Cited by 14 publications

(9 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Some authors simply insert a nail splint and leave the nail bed under spontaneous healing, without a graft. 26 We strongly believe that a careful and complete reconstruction of all involved structures is the guarantee for the best results. In our experience, in these cases where there is no loss of pad or the nail apparatus, restitution is ad integrum.…”

Section: Management Of a Nail Avulsion In Emergencymentioning

confidence: 98%

Benefits of an Ungual Prosthesis in Traumatology and Reconstructive Surgery of the Nail

Guéro

2014

Techniques in Hand &Amp; Upper Extremity Surgery

View full text Add to dashboard Cite

Lesions of the nail apparatus can leave esthetic and sometimes functional sequelae. Many sequelae are the result of incorrect growth of the nail plate. During the acute phase, in the absence of a nail plate, the nail bed may keratinize or form a pyogenic granuloma, compromising harmonious regrowth of the nail plate. The ideal is to reinsert the plate if it is available, but if it has been lost, an ungual prosthesis must be inserted to act as a temporary implantable splint. This implant must have the same shape and structure as the nail plate. Many ideas have been used in the past, including suture pack, infusion tubing, or x-ray film. However, these techniques are no longer acceptable, as, in many countries, all types of implants require a documented recorded identification or "traceability." The implants we use are packed individually in sterile packaging. They are therefore immediately available in traumatology departments treating Hand Emergencies. These prostheses are also very useful in reconstructive surgery of the digit in the hand and feet, particularly when the nail bed has to be reconstructed. In this case, the implant is used to flatten the nail bed, whether it is sutured, grafted, or reconstructed with flaps, during the slow regrowth of the nail plate. The author reports his experience in emergency or secondary repair of the nail complex.

show abstract

Section: Management Of a Nail Avulsion In Emergencymentioning

confidence: 98%

Benefits of an Ungual Prosthesis in Traumatology and Reconstructive Surgery of the Nail

Guéro

2014

Techniques in Hand &Amp; Upper Extremity Surgery

View full text Add to dashboard Cite

show abstract

“…If the avulsed fragment is not available because of loss or destruction, conservative treatment or reconstructive techniques can be considered. Conservative techniques are based on the observation that the nail bed has a regenerative potential that allows for complete nail repair in about 6 weeks [ 17 ]. In his study, Ogunro [ 14 ] reported that when the residual nail bed is effectively covered, in order to prevent drying and maintain a local environment suited for tissue regeneration, normal nail growth may be obtained.…”

Section: Nail-bed Avulsion (Sterile and Germinal Matrix Defect)mentioning

confidence: 99%

Surgical treatment of acute fingernail injuries

Tos

Titolo

Chirila

et al. 2011

J Orthopaed Traumatol

View full text Add to dashboard Cite

The fingernail has an important role in hand function, facilitating the pinch and increasing the sensitivity of the fingertip. Therefore, immediate and proper strategy in treating fingernail injuries is essential to avoid aesthetic and functional impairment. Nail-bed and fingertip injuries are considered in this review, including subungual hematoma, wounds, simple lacerations of the nail bed and/or matrix, stellate lacerations, avulsion of the nail bed, ungual matrix defect, nail-bed injuries associated with fractures of the distal phalanx, and associated fingertip injuries. All these injuries require careful initial evaluation and adequate treatment, which is often performed under magnification. Delayed and secondary procedures of fingernail sequelae are possible, but final results are often unpredictable.

show abstract

“…Treatment of nail bed defects caused by nail bed disorders is a significant clinical challenge in hand surgery due to the lack of uniform nail bed thickness and distinct regenerative ability (Ogunro & Ogunro, 2007). Clinically, the area of nail bed defects is managed by replacing it with a split thickness nail bed graft, which is harvested from the adjacent nail bed when the defect is very small or from the great toe nail when the defect is large.…”

Section: Introductionmentioning

confidence: 99%

Human nail bed‐derived decellularized scaffold regulates mesenchymal stem cells for nail plate regeneration

Cui

Zhang

et al. 2019

J Tissue Eng Regen Med

View full text Add to dashboard Cite

Among hand trauma, nail bed is the most involved tissue in hospital emergency departments, resulting in the loss of nail plate, which leads to a disturbance of hand grasp function, long‐lasting digit tip pain, hyperpathia, and disesthesia. Treatment of nail bed defects is a significant clinical challenge due to the lack of uniform nail bed thickness and distinct regenerative ability. In this study, it is shown that the extracellular matrix of decellularized nail bed scaffolds can play an important role in inducing bone mesenchymal stem cells to differentiate into nail epithelial cells. Using decellularized nail bed scaffolds combined with bone mesenchymal stem cells, it is revealed that the engineered nail bed can promote nude mouse nail plate regeneration ectopically. The natural extracellular matrix of decellularized nail bed scaffolds can serve as a 3D structural template for bone mesenchymal stem cell differentiation into nail‐associated cells, initiating the nail plate regeneration. These results not only provide a proof‐of‐principle for the generation of transplantable nail grafts based on decellularized nail bed scaffolds derived from clinically wasted amputated fingers but also provide important considerations for clinical treatment for digit tip trauma.

show abstract

Avulsion Injuries of the Nail Bed Do Not Need Nail Bed Graft

Cited by 14 publications

References 6 publications

Benefits of an Ungual Prosthesis in Traumatology and Reconstructive Surgery of the Nail

Benefits of an Ungual Prosthesis in Traumatology and Reconstructive Surgery of the Nail

Surgical treatment of acute fingernail injuries

Human nail bed‐derived decellularized scaffold regulates mesenchymal stem cells for nail plate regeneration

Contact Info

Product

Resources

About