Nailbed Repair CPT
Nailbed Repair Indications
Nailbed Repair Contraindications
Nailbed Repair Alternatives
Nailbed Repair Pre-op Planning
- Ensure appropriate suture is available and reinforced silcone sheeting if nail is not salvageable
Nailbed Repair Technique
- Sign operative site.
- Pre-operative antibiotics.
- 1% plain lidocaine digital block.
- Prep and drape
- Finger tourniquet.
- Nail removed with Kutz elevator or iris scissors.
- Undersurface of nail cleared of any residual tissue and soaked in providie-iodine solution.
- Examine nailbed under 2.5x loupe magnification.
- Undermine edges @ 1mm.
- Repair with 7-0 chromic sutures, GS-9 opthalmic needle. Simple sutures.
- Place hole in the previously removed nail for drainage and replace nail. If nail is not available use 0.020" reinforced silicone sheeting or nonadherent gauze.
- Suture nail in place with 5-0 nylon suture placed in a horizontal mattress configuration through the nail fold.
- Severely displaced distal phalanx fractures can be reduced and pinned with 0.028 K-wires.
Nailbed Repair Complications
- Abnormal nail growth
Nailbed Repair Follow-up care
- 7-10 Days:
- 3 Weeks:
- 6 Weeks:
- 2 Months:
- 3 Months:
- 6 Months:
Nailbed Repair Outcomes
Nailbed Repair Review References