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Rev Bras Ortop
2014[Mar]; 49
(2
): 111-5
PMID26229785
show ga
OBJECTIVE: to analyze the results from surgical intervention to treat trauma of
the nail complex. METHODS: we retrospectively reviewed a series of 94 consecutive
patients with trauma of the nail complex who were treated between 2000 and 2009.
In 42 patients, nail bed suturing was performed. In 27 patients, nail bed
suturing was performed subsequent to osteosynthesis of the distal phalanx. In 15,
immediate grafting was performed, and in 10, late-stage grafting of the nail bed.
The growth, size and shape of the nail were evaluated in comparison with the
contralateral finger. The results were obtained by summing scores and classifying
them as good, fair or poor. RESULTS: the results were considered to be good
particularly in the patients who underwent nail bed suturing or nail bed suturing
with osteosynthesis of the distal phalanx. Patients who underwent immediate or
late-stage nail grafting had poor results. CONCLUSION: trauma of the nail complex
without loss of substance presented better results than did deferred treatment
for reconstruction of the nail complex.
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