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Nailbed Repair 11760

 
CPT Technique
Indications Complications
Contraindications Follow-up Care / Rehab Protocol
Alternatives Outcomes
Pre-op Planning / Case Card Review References

synonyms:

 Nailbed Repair CPT

Nailbed Repair Indications

  • H

 Nailbed Repair Contraindications

  •  

Nailbed Repair Alternatives

Nailbed Repair Pre-op Planning

  • Ensure appropriate suture is available and reinforced silcone sheeting if nail is not salvageable

Nailbed Repair Technique

  • Sign operative site.
  • Pre-operative antibiotics.
  • 1% plain lidocaine digital block.
  • Prep and drape
  • Finger tourniquet.
  • Nail removed with Kutz elevator or iris scissors.
  • Undersurface of nail cleared of any residual tissue and soaked in providie-iodine solution.
  • Examine nailbed under 2.5x loupe magnification.
  • Undermine edges @ 1mm.
  • Irrigate.
  • Repair with 7-0 chromic sutures, GS-9 opthalmic needle. Simple sutures.
  • Place hole in the previously removed nail for drainage and replace nail. If nail is not available use 0.020" reinforced silicone sheeting or nonadherent gauze.
  • Suture nail in place with 5-0 nylon suture placed in a horizontal mattress configuration through the nail fold.
  • Severely displaced distal phalanx fractures can be reduced and pinned with 0.028 K-wires.

Nailbed Repair Complications

  • Infection
  • Abnormal nail growth

Nailbed Repair Follow-up care

  • Post-op:
  • 7-10 Days:
  • 3 Weeks:
  • 6 Weeks:
  • 2 Months:
  • 3 Months:
  • 6 Months:
  • 1Yr:

Nailbed Repair Outcomes

Nailbed Repair Review References