How is nail bed laceration repair performed?

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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After surgical preparation of the site, apply a finger tourniquet to allow a bloodless view of the nail bed.

Insert the blades of curved Iris scissors or a small periosteal elevator beneath the free edge of the nail (hyponychium). Gently open and close the Iris scissors blades or gently press the nail bed with the small periosteal elevator, taking care to minimize trauma to the nail bed. Advance proximally in between the nail plate and the nail bed until the instrument reaches the nail fold.

After the nail is removed, scrape the residual soft tissue from its undersurface and then soak it in povidone iodine solution while the nail bed is being repaired.

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