Observation on the therapeutic effect of decompression surgery with proximal nail plate trephination in 61 cases of subungual hematoma
WANG Huafeng
HE Xin
REN Tiansheng
LIU Yihua
MA Zhansheng
DUAN Feng
Abstract：Objective To explore the clinical effect and prognosis of decompression surgery with proximal nail plate trephination for the treatment of subungual hematoma.Methods A total of 61 patients with subungual hematoma treated at the Dermatology Clinic of Henan Provincial Armed Police Corps Hospital between March 1,2016,and April 20,2024,were enrolled.Ac-cording to the proportion of the area of the nail hematoma to the nail area,and the severity of the fluctuation sensation and swelling pain of the hematoma,decompression surgery with proximal nail plate trephination was performed to drain the blood under digital nerve anesthesia.Postoperative routine dressing changes were performed,and therapeutic outcomes were observed.Results Sev-en days after the surgery,the effective rate was 100％,with complete recovery in 56 cases(91.80％)and marked improvement in 5 cases(8.20％).Follow-up through in-person consulta-tions or WeChat at 1-3 month post-surgery revealed no significant nail plate defects or cosmetic de-formities.Conclusion Decompression with proximal nail plate trephination is effective for subun-gual hematoma,with a favorable prognosis.
Keywords：subungual hematomafinger nailtoenaildecompression surgery with open-inghematoma
Publication Date：2025-04-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 246-250 )