[Fingertips and nailbed injuries in children. Apropos of 241 cases].

PURPOSE OF THE STUDY

The authors studied long-term outcome of fingertip trauma in children, as its management remains controversial.

MATERIAL AND METHODS

241 cases with a mean follow-up of 2.5 years were analysed. Epidemiologic data were studied as well as functional and esthetic sequelae regarding nailbed as well as fingertips, depending on treatment.

RESULTS

42 per cent nail deformities, and 40 per cent sensory disturbances were found. Only 14 nailbeds were sutured, leading to 12 normal nails (86 per cent) when not sutured nailbeds led to 52 per cent normal nails. We obtained 60 per cent excellent and good results.

DISCUSSION

We compared our results with those of other authors performing the same procedures; when most care is given to perionychium repair fewer nail deformities are found. The nail must be removed in order to explore the whole nailbed, using optic magnification. A small and adsorbable suture is preferable for better repair. Every injury involving the nail is liable to interfere with nail regrowth: parents and child must be warned of this risk.

CONCLUSION

The importance of adequate management, a good overall view, and accurate treatment of nailbed injuries, especially in children, should be stressed, in order to avoid functional and cosmetic sequelae.