Injury to the nail bed in children which requires surgery Injury, Occupational Diseases, Poisoning Nail bed injury
Conditions
Interventions
Replace or discard nail plate after nail bed injury.
Sponsors
University of Oxford
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Age <16 years 2. Acute nail bed injury (occurring within 48 hours of presentation at trial centre) requiring surgical repair. This includes sharp lacerations, stellate lacerations, crush and avulsion injuries of the nail bed, injuries involving the sterile and/or germinal matrix, nail bed injuries with an associated pulp laceration and/or with an associated ‘tuft’ fracture of the distal phalanx 3. Patients whose parent or legal guardian consent to their inclusion in the trial and are willing to return for follow up
Exclusion criteria
Exclusion criteria: 1. Patients aged >16 years 2. Patients who present with an already infected nail bed injury 3. Patients with underlying nail disease or deformity prior to the injury 4. Patients with an associated distal phalanx fracture requiring fixation with a Kirschner wire. This is considered to be another potential source of infection and therefore a confounding variable 5. Patients with complete amputation of the distal fingertip including all or part of the nail bed, which requires repair as a composite graft or replantation 6. Patients with loss of part or all of the nail bed requiring a nail bed graft or flap reconstruction
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Complications measured at 2 weeks, 30 days and 4 months post intervention | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Pain at dressing change measured at 2 week dressing change - before and during dressing change 2. Visual Analogue Score used 4 months post intervention 3. ZOOK classification measured at 4 months | — |
Countries
United Kingdom
Outcome results
None listed