Acellular dermal matrix reconstruction of a nail bed avulsion in a 13-year-old child.
orthopaedic and trauma surgery
paediatric surgery
plastic and reconstructive surgery
trauma
Journal
BMJ case reports
ISSN: 1757-790X
Titre abrégé: BMJ Case Rep
Pays: England
ID NLM: 101526291
Informations de publication
Date de publication:
22 Sep 2020
22 Sep 2020
Historique:
entrez:
23
9
2020
pubmed:
24
9
2020
medline:
23
2
2021
Statut:
epublish
Résumé
Nail bed avulsion injuries often require reconstruction, particularly in cases where the avulsed fragment is lost. We describe a simple way to reconstruct a large nail bed defect, with no donor site. A 13-year-old boy with a hypoplastic left heart and autism accidentally sustained a left little distal phalanx injury with an avulsion of 60% of the nail bed, exposing the distal phalanx. This boy had a history of poor compliance, qualifying the need to find a technique that would minimise operative time and dressing changes. As such, it was elected to use an acellular dermal matrix (ADM) (Matriderm) as a one-step reconstruction. Signs of vascularisation of the ADM were noted at 2 weeks, and 3-month follow-up demonstrated integration, with normal nail growth. We found that Matriderm was able to support the regeneration of a full thickness wound in a simple one-step procedure.
Identifiants
pubmed: 32963043
pii: 13/9/e236253
doi: 10.1136/bcr-2020-236253
pmc: PMC7509955
pii:
doi:
Substances chimiques
matriderm
0
Collagen
9007-34-5
Elastin
9007-58-3
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© BMJ Publishing Group Limited 2020. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
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