What is the procedure for nail bed repair of distal phalanx fractures?

Updated: Aug 25, 2020
  • Author: Rahi K Yallapragada, MBBS, MRCS, FRCS(T&O), MCh(Orth); Chief Editor: Erik D Schraga, MD  more...
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Answer

Answer

In lacerations associated with fractures of the distal phalanx, if the fracture is nondisplaced, the nail bed should be repaired and the nail replaced as a splint.

The displaced fractures of the distal phalanx should be reduced evenly before the nail bed is repaired, as the nail bed deformity will result if the dorsal cortex of the distal phalanx is left uneven.


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