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KMID : 0621520090140010023
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Journal of the Korean Society for Surgery of the Hand
2009 Volume.14 No. 1 p.23 ~ p.27
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Nailbed Repair using 2-octyl Cyanoacrylate (Dermabond®)
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Choi Soo-Joong
Lee Yong-Beom
Paik Sang-Hoon
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Abstract
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Purpose: Nailbed repair using fine 6-0 or 7-0 absorbable sutures can be technically demanding and time-consuming. We describe a simpler method of nailbed repair using 2-octyl cyanoacrylate (Dermabond®) topical adhesive.
Materials and Methods: Fifteen consecutive patients with nailbed injuries not involving the germinal matrix were repaired with Dermabond®. There were 7 simple lacerations, 4 stellate lacerations and 4 severe crush injury according to Zook’s classification. The appearance of the nail at twelve months was graded according to ridging, splitting, deformity, and sheen of the nail.
Results: Nailbed repairs using Dermabond® took on average 3.2 minutes to complete. Six patients had excellent aesthetic results, Eight had good results, and one patient with a crush injury had a fair result. There were no complications.
Conclusion: Dermabond® is a useful tool for rapidly repairing acute nailbed injuries. The outcome of repairing injuries not involving the germinal matrix is similar to that expected for suture repairs of similar injuries.
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KEYWORD
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Nailbed injury, 2-octyl cyanoacrylate (Dermabond
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