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Intermediate Technical IVT

nail bed laceration

Traumatic injury to the specialized tissue beneath the nail plate that requires precise repair techniques.

Full Definition

Nail bed laceration involves disruption of the specialized germinal and sterile matrix tissue underneath the nail plate. These injuries commonly result from crush injuries, saw accidents, or sharp trauma to the fingertip. Proper management requires meticulous surgical repair of the nail bed using fine absorbable sutures to prevent nail deformities, ridging, or splitting. The nail plate often serves as a natural splint and should be preserved when possible or replaced with a suitable substitute. Inadequate repair can result in permanent nail dystrophy, making precise technique essential for optimal cosmetic and functional outcomes.

Usage

Usage note: Specify location and extent of laceration for proper documentation.

In Context

  • "The nail bed laceration required microsurgical repair with 6-0 chromic sutures." — Operative note
  • "Follow-up revealed excellent healing of the nail bed laceration with normal nail growth." — Clinic visit

Also known as

nail matrix injury nail bed injury

Don't confuse with

nail avulsion fingertip amputation

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