Nail bed trauma reconstruction and artificial nail replacement – a case report

V. Woznica1,2, I. Třešková1,2, M. Soukup1

1 Department of Plastic Surgery, University Hospital in Pilsen, Czech Republic 2 Faculty of Medicine in Pilsen, Charles University, Prague, Czech Republic


Nail bed reconstruction is crucial after fingertip trauma, impacting both function and aesthetics. In this article, the authors describe a case of partial distal phalanx amputation of the index finger with laceration of the nail bed’s remaining part. A traumatically elevated skin-fat flap covered the exposed bone on the fingertip, preserving finger length and sensitivity on the radial side. A full-thickness skin graft from the forearm closed a secondary defect on the finger pulp. Nail bed suturing prevented scarring and nail deformity, and a temporary artificial plastic nail replacement maintained the nail bed’s shape. Temporary artificial nail replacements protect the regenerating fingertip bed, promote healing, and prevent nail deformities. Proper adaptation of lacerated nail bed edges, supported by either the patient’s own nail or a temporary artificial nail, is crucial for optimal fingertip restoration, including proper nail shape.

Key words

amputation – fingers – nails – hand injuries – trauma – skin transplantation – surgery

Woznica V, Třešková I, Soukup M. Nail bed trauma reconstruction and artificial nail replacement – a case report. Acta Chir Plast 2024; 66 (1): 22–23. doi: 10.48095/ccachp202422

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