Eur J Plast Surg (1999) 22: 142±143 Springer-Verlag 1999 LETTE R T O T HE EDITOR D.W. Oliver ´ A.S. Halim ´ V.S. Devaraj Suture repair of nail bed lacerations ± macro or micro: does it really matter? Fingertip injuries account for a considerable workload in any Accident and Emergency and Plastic Surgery de- partment. Studies have confirmed that meticulous prima- ry nail bed repair is associated with good results  par- ticularly in children . However we were disappointed to find little data as to what constitutes a meticulous re- pair and whether this is always necessary. A small pro- spective (non-randomised) appraisal was organized to study the outcome following nail bed repair either per- formed in the Accident and Emergency department with- out magnification using 5/0 Polyglactin (Vicryl) or us- Fig. 1 Pre-operative nail bed laceration before removal of the nail ing loupe magnification and 8/0 Polyglycolic acid (Dexon ªSº ) sutures. All repairs were performed us- ing interrupted sutures by a member of the department of Plastic Surgery. Twenty patients were assessed between December 1995 and August 1996. The mechanism of injury, opera- tive findings and type of suture used was recorded. The zone of
European Journal of Plastic Surgery – Springer Journals
Published: Apr 15, 1999
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