Delayed primary reconstruction of subtotal nail bed loss using a split-thickness nail bed graft on decorticated bone |
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Authors: | H M Matsuba S L Spear |
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Institution: | Division of Plastic and Reconstructive Surgery, Georgetown University Hospital, Washington, D.C. |
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Abstract: | Split-thickness nail bed grafting is the accepted method of treatment for injuries involving loss of nail bed tissue. The nail bed of the great toe may be used without donor-site morbidity, and nail bed grafting may be combined with other procedures for fingertip reconstruction. A case of fingertip avulsion injury with loss of the nail plate, nail bed, and periosteum over the exposed distal phalanx of the thumb was reconstructed by a split-thickness nail bed graft placed directly on granulating decorticated bone. The length, appearance, and function of the injured dominant thumb were preserved. |
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