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Average 4.2 of 25 Ratings
A 7-year-old boy sustains a ring finger injury after falling from his bike. The fingernail has been torn transversely beneath the eponychium and the surgeon has removed the nail as shown in Figure A. Radiographs are shown in Figure B. What is the next best step in management?
Irrigation and debridement with alumafoam placement and immobilization
Irrigation and debridement followed by percutaneous pinning and immobilization
Irrigation and debridement followed by reduction, nail bed repair and immobilization
Betadine soaks at home three times daily with intermittent alumafoam splint placement and immobilization
Alumafoam splint placement and immobilization
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Repair of a nailbed injury with 2-octylcyanoacrylate (Dermabond) provides what distinct advantage over standard suture repair?
Better ultimate cosmesis
Better functional outcome
Less pain at follow up
Lower infection rate