Patankar H S
Patankar's Hand & Limb Reconstruction Clinic, Chembur, Mumbai, Maharashtra, India.
J Hand Surg Eur Vol. 2007 Dec;32(6):668-74. doi: 10.1016/J.JHSE.2007.05.019. Epub 2007 Aug 17.
A series of 66 patients, aged between 1 and 70 years, with 70 disruptive injuries to finger nails was reviewed. The injuries were treated by cleaning of the finger, evacuation of haematoma and anatomical replacement of the nail plate, or a substitute, which was secured with a modified dorsal tension band suture without formal repair of the nail bed. K-wire fixation of the distal phalanx was employed only in the event of displaced fracture of the distal phalanx, complete absence of the nail plate and laceration extending to the distal pulp. This simple method, which bypasses the injured and friable, but vital nail structures resulted in uncomplicated re-formation of the normal nail plate in all of the cases. Removal of the nail plate and formal repair of the nail bed is not necessary in any age group with finger nail disruptions.
回顾了66例年龄在1至70岁之间、指甲有70处断裂损伤的患者。损伤的处理方法是清洁手指、清除血肿、将甲板或替代品进行解剖复位，并用改良的背侧张力带缝线固定，而不进行甲床的正式修复。仅在远节指骨移位骨折、甲板完全缺失以及撕裂延伸至远节指腹时才采用远节指骨克氏针固定。这种简单的方法绕过了受伤且脆弱但至关重要的指甲结构，在所有病例中均导致正常甲板的顺利重新形成。对于任何年龄段的指甲断裂患者，均无需去除甲板和正式修复甲床。
