Vyas Amit Kumar, Misra Sayantani
Fortis Escorts Hospital, India.
Jawaharlal Nehru Hospital and Research Centre, India.
J Hand Microsurg. 2025 Jan 25;17(2):100219. doi: 10.1016/j.jham.2025.100219. eCollection 2025 Mar.
Nail-bed grafting is an accepted treatment for nail-bed defects of the fingernail. This study summarizes and analyses recent data on the outcomes associated with nail-bed grafting for nail-bed injuries at varying degrees of severity.
A literature search was conducted in the electronic databases(PubMed, MEDINE, EMBASE, SCOPUS) to extract articles published from March 1985 to March 2023. Studies reporting data on nail-bed injury treated with full or split thickness nail-bed grafting was included in the study. Extracted data consisted of demographic data, surgical technique, follow-up, outcomes and complications.
A total of 107 articles were identified, of which 6 studies were eligible for final inclusion comprising a total of 84 patients. The average age of patients was 28.87 years. The mean length of follow-up was 17 months. 2 studies reported excellent outcome in 12 patients as per Zook's criteria. The first nail appeared 3 weeks to 4 months after the surgery. 4 studies mentioned use of nail splint after the surgery reflecting the current practice trends. No major complications were reported in the studies.
Nail-bed grafting can be a safe, effective technique for the treatment of nail-bed injuries in immediate and delayed setting. Results of nail-bed grafting indicate satisfactory outcome in carefully selected cohort of nail-bed injury patients.LEVEL OF EVIDENCE.V.
甲床移植是治疗指甲甲床缺损的一种公认方法。本研究总结并分析了近期关于不同严重程度甲床损伤的甲床移植相关结果的数据。
在电子数据库（PubMed、MEDINE、EMBASE、SCOPUS）中进行文献检索，以提取1985年3月至2023年3月发表的文章。纳入报告全厚或中厚甲床移植治疗甲床损伤数据的研究。提取的数据包括人口统计学数据、手术技术、随访、结果和并发症。
共识别出107篇文章，其中6项研究符合最终纳入标准，共84例患者。患者的平均年龄为28.87岁。平均随访时间为17个月。2项研究根据祖克标准报告12例患者预后良好。术后3周 至4个月长出第一枚指甲。4项研究提到术后使用指甲夹板，反映了当前的实践趋势。研究中未报告重大并发症。
甲床移植对于即时和延迟情况下的甲床损伤治疗可能是一种安全、有效的技术。甲床移植结果表明，在精心挑选的甲床损伤患者队列中预后良好。证据级别：V级
