Primary Reconstruction of Fingernail Injuries in Children with Split-Thickness Nail Bed Grafts

Abstract

Primary reconstruction of complex nail bed injuries with STNBGs usually gives good cosmetic and functional results in children and prevents secondary nail growth disturbances reliably.

Nail bed and flap reconstructions for acute fingertip injuries – A case review and report of a chemical burn injury

“…4,13,14 Clayburgh et al and Rohard et al introduced scoring systems which included the surgeon's assessment and patient's satisfaction level. 1,7 Even these objective assessments did not include the function of the fingers like motion and pinch strength. All of them assessed the cosmetic aspect of the nail, for example, irregularity, adherence and splitting.…”

“…Sabapathy et al and Rohard et al reported hook nail deformities in cases of inadequate length of distal phalanges. 5,7…”

“…5 In children, the injuries were frequently due to door crush. [5][6][7] Chemical burn injuries at fingertips were rarely reported in literatures. The commonest chemical used in industries was hydrofluoric acid, the strongest inorganic acid which is also corrosive.…”

“…1,4 Nail bed is a highly specialized tissue where replacement with other tissues results in inconsistent outcome. 4,5,7,14 For example, split-thickness skin grafts and dermal grafts caused non-adherence of nail plate. 14 This was cosmetically unpleasant and functionally unhygienic.…”

Diagnosis of torture after 32 years: Assessment of three alleged torture victims during the 1980 military coup in Turkey

“…Di Napoli et al [18] reports that 6% of 354 torture survivors reported nail removal. Several papers describe nail deformations caused by traumatic nail injuries [19][20][21] and only 2 out of 6 cases that received treatment completely recovered [20].…”