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Thin Split-Thickness Toenail Bed Grafts for Avulsed Nail Bed Defects

Hsieh, Shang-Chin MD; Chen, Shao-Liang MD; Chen, Tim-Mo MD; Cheng, Tiang-Yeu MD; Wang, Hsian-Jenn MD

doi: 10.1097/
Original Article

Avulsed defect of a fingernail bed is a common injury in acute hand trauma. Insufficient management for this type of nail bed avulsion often leads to an irregular and nonadherent nail. The use of thin split-thickness sterile matrix graft from the great toe for immediate replacement of a nail bed defect can regain a smooth, adherent, and normal-looking nail. Between May of 1998 and December of 2001, we used thin split-thickness toenail bed grafts in 13 fingers of 12 patients with avulsed defects of the nail bed. The end results of this technique were excellent and no deformities occurred in the graft donor area. Thin split-thickness toenail bed graft is a good choice for the treatment of acute nail bed avulsion.

Thin split-thickness great toenail bed grafts were used for replacement of 13 fingernail bed defects. Both recipient and donor areas retained normal appearance.

From the Division of Plastic Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, R.O.C.

Received July 7, 2003 and accepted for publication, after revision, August 9, 2003.

Reprints: Dr. Shao-Liang Chen, 3F, No25, Alley 4, Lane 154, Yung-Chun Street, Taipei 100, Taiwan, R.O.C. E-mail:

© 2004 Lippincott Williams & Wilkins, Inc.