Nail bed grafting for the treatment of nail-complex injuries: A systematic review.

IF 0.5 Q4 SURGERY
Journal of Hand and Microsurgery Pub Date : 2025-01-25 eCollection Date: 2025-03-01 DOI:10.1016/j.jham.2025.100219
Amit Kumar Vyas, Sayantani Misra
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引用次数: 0

Abstract

Introduction: Nail-bed grafting is an accepted treatment for nail-bed defects of the fingernail. This study summarizes and analyses recent data on the outcomes associated with nail-bed grafting for nail-bed injuries at varying degrees of severity.

Materials and methods: A literature search was conducted in the electronic databases(PubMed, MEDINE, EMBASE, SCOPUS) to extract articles published from March 1985 to March 2023. Studies reporting data on nail-bed injury treated with full or split thickness nail-bed grafting was included in the study. Extracted data consisted of demographic data, surgical technique, follow-up, outcomes and complications.

Results: A total of 107 articles were identified, of which 6 studies were eligible for final inclusion comprising a total of 84 patients. The average age of patients was 28.87 years. The mean length of follow-up was 17 months. 2 studies reported excellent outcome in 12 patients as per Zook's criteria. The first nail appeared 3 weeks to 4 months after the surgery. 4 studies mentioned use of nail splint after the surgery reflecting the current practice trends. No major complications were reported in the studies.

Conclusion: Nail-bed grafting can be a safe, effective technique for the treatment of nail-bed injuries in immediate and delayed setting. Results of nail-bed grafting indicate satisfactory outcome in carefully selected cohort of nail-bed injury patients.LEVEL OF EVIDENCE.V.

甲床移植治疗甲复合损伤的系统综述。
甲床移植是一种公认的治疗指甲甲床缺损的方法。本研究总结并分析了最近关于不同严重程度的甲床损伤采用甲床移植的相关结果的数据。材料与方法:在PubMed、MEDINE、EMBASE、SCOPUS等电子数据库中进行文献检索,提取1985年3月至2023年3月发表的文章。研究报告了全厚或劈厚甲床移植治疗甲床损伤的数据。提取的资料包括人口统计资料、手术技术、随访、结局和并发症。结果:共纳入107篇文献,其中6项研究符合最终纳入条件,共纳入84例患者。患者平均年龄28.87岁。平均随访时间为17个月。根据Zook的标准,2项研究报告了12例患者的良好结果。第一根指甲出现在手术后3周到4个月。4项研究提到术后使用甲夹板,反映了当前的实践趋势。研究中未报告重大并发症。结论:甲床植入术是一种安全、有效的治疗即时和延迟型甲床损伤的方法。在精心挑选的甲床损伤患者中,甲床移植的结果令人满意。证据水平。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.00
自引率
25.00%
发文量
39
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