Nailbed Repair for Patients With Nailbed Injuries

Conditions

• Nail Bed Injury
• Nail Laceration
• Nail Plate Disruption

Eligibility Criteria

Sex

ALL

Age

2 Years - N/A

Healthy Volunteers

Not accepted

Interventions

• Nail Bed Repair — OTHER
  1. Block involved digit with 3cc 1% lidocaine injected subcutaneously over volar and dorsal metacarpophalangeal joint 2. Apply tourniquet to base of finger if desired 3. Remove nail using freer/hemostats 4. Irrigate wound with at least 500cc normal saline 5. Repair nail bed laceration with 5-0 chromic or monocryl suture 6. Stent eponychium with native nail or fashion substitute from foil suture packet and secure with 2 sutures 7. Dress finger with bacitracin, xeroform, and 2" kling wrap 8. Splint finger as needed with alumifoam splint (apply splint to volar side of finger so as to avoid pressure to nail bed) 9. Repair any other lacerations as needed
• Nail bed dressing — OTHER
  1. If there is a subungual hematoma \>50% of the nail, trephinate the nail plate using an 18G needle 2. Irrigate wound with at least 500cc normal saline 3. Dress finger with bacitracin, xeroform, and 2" kling wrap 4. Splint finger as needed with alumifoam splint (apply splint to volar side of finger so as to avoid pressure to nail bed) 5. Repair any other lacerations as needed

Study Details

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?"

Key Dates

First listed

Feb 5, 2026

Start date

Jun 1, 2026

Status verified

Jul 2026

Primary completion

Oct 31, 2030

Completion

Oct 31, 2030

Study Design

Enrollment

100 participants (estimated)

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

TREATMENT

Arms

• Active Comparator: No nail bed repair (Irrigation and Dressing)
  Patients in this arm will receive the following treatment protocol: 1. If there is a subungual hematoma \>50% of the nail, trephinate the nail plate using an 18G needle 2. Irrigate wound with at least 500cc normal saline 3. Dress finger with bacitracin, Adaptic or xeroform, and 2" kling wrap 4. Splint finger as needed with alumifoam splint (apply splint to volar side of finger so as to avoid pressure to nail bed) 5. Repair any other lacerations as needed 6. Discharge on Keflex x7d with referral for followup in hand clinic in 1-2 weeks
• Experimental: Nail bed repair
  Patients in this arm will receive the following treatment protocol: 1. Block involved digit with 3cc 1% lidocaine injected subcutaneously over volar and dorsal metacarpophalangeal joint 2. Apply tourniquet to base of finger if desired 3. Remove nail using freer/hemostats 4. Irrigate wound with at least 500cc normal saline 5. Repair nail bed laceration with 5-0 chromic or monocryl suture 6. Fashion substitute nail from foil suture packet, stent eponychium, and secure with 2 absorbable sutures 7. Dress finger with bacitracin, Adaptic or xeroform, and 2" kling wrap 8. Splint finger as needed with alumifoam splint (apply splint to volar side of finger so as to avoid pressure to nail bed) 9. Repair any other lacerations as needed 10. Discharge on Keflex x7d with referral for followup in hand clinic in 1-2 weeks

Primary Outcome Measure

Oxford Nail Score [ Time Frame: From time of treatment, outcomes will be measured at 1-2 weeks, 6 months, 1 year, and 2 years ]

Central Contacts

• Sara Kemper
  650 725 7897
  [email protected]

Locations (1)

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