Nailbed Repair for Patients With Nailbed Injuries

Nail Bed Repair RCT

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.

Inclusion Criteria:

• patients 2+ years of age
• presenting with disruption of nail plate or laceration adjacent to nail which appears that it may extend into the nail matrix OR subungual hematoma >50% of nail
• presenting within 3 days of acute injury

Exclusion Criteria:

• missing (e.g. avulsed) nail bed or segment of nail bed,
• prior injury to affected nail
• need for surgical treatment of injury (e.g. underlying operative fracture)