Melone C P, Grad J B
Emerg Med Clin North Am. 1985 May;3(2):255-61.
The primary care physician has a profound influence on the prevention of deformity and disability resulting from fingernail injuries. Prompt recognition and precise repair of the disrupted nailbed consistently result in successful nail restoration. For injuries with a substantial subungual hematoma or a displaced phalangeal fracture, optimal treatment requires removal of the nailplate, reduction of the fracture, and meticulous repair of the nailbed. Even with severely fragmented or avulsion injuries, the results of an accurate primary repair are generally far superior to those of corrective surgery for established fingernail deformities. Skillful primary repair is the best method of managing the vast majority of fingernail injuries.
初级保健医生对预防指甲损伤导致的畸形和残疾具有深远影响。及时识别并精确修复受损的甲床始终能成功恢复指甲。对于伴有大量甲下血肿或指骨骨折移位的损伤，最佳治疗方法是去除甲板、复位骨折并精心修复甲床。即使是严重碎裂或撕脱伤，准确的一期修复效果通常也远优于针对已形成的指甲畸形进行的矫正手术。熟练的一期修复是处理绝大多数指甲损伤的最佳方法。
