Trauma to the nail complex

we retrospectively reviewed a series of 94 consecutive patients with trauma of the nail complex who were treated between 2000 and 2009. In 42 patients, nail bed suturing was performed. In 27 patients, nail bed suturing was performed subsequent to osteosynthesis of the distal phalanx. In 15, immediate grafting was performed, and in 10, late-stage grafting of the nail bed. The growth, size and shape of the nail were evaluated in comparison with the contralateral finger. The results were obtained by summing scores and classifying them as good, fair or poor.

RESULTS:

the results were considered to be good particularly in the patients who underwent nail bed suturing or nail bed suturing with osteosynthesis of the distal phalanx. Patients who underwent immediate or late-stage nail grafting had poor results.

CONCLUSION:

trauma of the nail complex without loss of substance presented better results than did deferred treatment for reconstruction of the nail complex.

Nail; Finger injuries; Nail bed

Nail growth	0	= without growth; 1 = partial growth with
	restraints; and 2 = normal growth.
Nail growth	0	≤ 50%; 1 = between 50 and 75%; and 2 ≥ 75% of the
	size of the nail on the opposite side.
Nail shape	0	= significant deformity in the vertical plane;
	1	= small deformity in the vertical plane; and
	2	= without deformity.
Total score: 6	The results were obtained through addition and
	classification of the scores as good (5-6), fair (3-4)
	and poor (<3).

Laceration of the nail	Laceration of the nail bed + fracturing of	Loss of tissue substance/avulsion - severe
bed + hematoma	the distal phalanx	crushing
Treatment	SS^a	SO^b	IG^c	LG^d
Good	37	23	2	3
Fair	5	4	5	1
Poor	0	0	8	6
Total	42	27	15	10

Sociedade Brasileira de Ortopedia e Traumatologia Al. Lorena, 427 14º andar, 01424-000 São Paulo - SP - Brasil, Tel.: 55 11 2137-5400 - São Paulo - SP - Brazil
E-mail: rbo@sbot.org.br

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[1] ^* Corresponding author: E-mail: jeffmao@terra.com.br (J.B. Silva).

Brasil

Brasil

Trauma to the nail complex☆ ☆ Please cite this article as: Silva JB. Trauma do complexo ungueal. Rev Bras Ortop. 2014;49:111-115.

OBJECTIVE:

METHODS:

RESULTS:

CONCLUSION:

Trauma to the nail complex^☆ ☆ Please cite this article as: Silva JB. Trauma do complexo ungueal. Rev Bras Ortop. 2014;49:111-115.