Nail Bed Injuries Treated with Modified Original Nail Plate Replantation

Abstract：Objective To discuss the therapeutic effect of the treatment of injuried nail bed with modified original nail plate replantation. Methods From June 2013 to June 2014,74 fingers nail bed injuries in 68 cases were involved in the stud-y,including 42 males and 26 females. Among them,the modified group including 37 fingers in 34 cases underwent the modified we replantation method of the distal original nail plate partal pruned and we reattched in situ with simple fixation to repair. The traditional group including 37 fingers in 34 cases treated with the traditional method underwent the vaseline dauzes to dress the sutured nail beds. The incidence of complications and the good or excellent rate of new nails evaluated according to the assess-ment criteria of Lv gui-xin were compared between the two groups.Results The incidence of nail bed necrosis and infection complications in the modified group was significantly lower than that in the traditional group,the difference was statistically sig-nificant. All the cases in two groups were follow-up for 3 to 5 months,the new nails were evaluated according to the assessment criteria formulated by Lv gui-xin:the results of 37 fingers in the modified group were good or excellent in 35 fingers,fair in 2 fingers,the good or excellent rate was 94. 6% ;the results of 37 fingers in the traditional group were good or excellent in 30 fin-gers,fair in 7 fingers,the good or excellent rate was 81. 1% . The good or excellent rate of new nail bed in the modified group was significantly higher than that in the traditional group,the difference was statistically significant. Conclusion The use of modified original nail plate replantation is a more effective method for repair nail bed injuries. This approach is easier,less traumatic and causes fewer complications than the traditional method and can get more satisfactory new nails.