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This study compares the outcomes of fixing nail bed injuries with nail bed repair versus irrigation and dressing alone. The main question this study aims to answer is "Does nail bed repair after nail bed injury lead to better outcomes?"
This study compares two treatment methods for patients with nail bed injuries. The first method is irrigation and dressing. The second method is nail bed repair. Patients will be randomized into one of the two groups and outcomes will be documented in both groups.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Irrigation and Dressing | Active Comparator | Patients in this arm will receive the following treatment protocol:
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| Nail bed repair | Experimental | Patients in this arm will receive the following treatment protocol:
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Nail Bed Repair | Other |
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| Measure | Description | Time Frame |
|---|---|---|
| Oxford Nail Score | The Oxford Nail Score assess five cosmetic components marked as binary outcomes composed of nail shape, nail adherence, eponychial appearance, nail surface appearance and presence of a split. The final score is 0-5, where 0 is "least optimal appearance" and 5 is "most optimal appearance." | From time of treatment, outcomes will be measured at 1-2 weeks, 6 months, 1 year, and 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| Subjective Cosmesis | Patients will self-score their cosmesis on a likert scale, with lower scores indicated better cosmesis. This will be scored from 0 to 8. | 1-2 weeks, 6 months, 1 year, 2 years |
| NRS Pain score |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Sara Kemper | Contact | 650 725 7897 | sara.kemper@stanford.edu |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 6715836 | Background | Zook EG, Guy RJ, Russell RC. A study of nail bed injuries: causes, treatment, and prognosis. J Hand Surg Am. 1984 Mar;9(2):247-52. doi: 10.1016/s0363-5023(84)80153-7. | |
| 5335262 | Background | Ashbell TS, Kleinert HE, Putcha SM, Kutz JE. The deformed finger nail, a frequent result of failure to repair nail bed injuries. J Trauma. 1967 Mar;7(2):177-90. doi: 10.1097/00005373-196703000-00001. No abstract available. |
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We do not have plans to share this data set.
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| Nail bed dressing | Other |
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Patients will rate their nailbed on a 0-10 scale, where 0 is no pain and 10 is the worst pain imaginable.
| 1-2 weeks, 6 months, 1 year, 2 years |
| Nail regrowth | Nail regrowth will be documented on a binary scale (yes or no) by an evaulator via photo. | 1-2 weeks, 6 weeks, 1 year, 2 years |
| Evidence of infection | Evidence of infection will be evaluated on a binary scale (yes or no) by an evaluator via photo. | 1-2 weeks, 6 months, 1 year, 2 years |
| 35513322 | Background | Rao V, Akiki RK, Crozier JW, Bhatt RA, Schmidt ST, Kalliainen LK. Rethinking the Need for Nail Plate Removal: A Comparison of the Risks Between Standard Nail Bed Repair and Nonoperative Management. Ann Plast Surg. 2022 May 1;88(3 Suppl 3):S209-S213. doi: 10.1097/SAP.0000000000003197. |