Abstract

CARVALHO, Marcos et al. A importância do substituto plástico no tratamento da avulsão ungueal completa em contexto de urgência: Caso clínico. Rev. Port. Ortop. Traum. [online]. 2018, vol.26, n.1, pp.60-66. ISSN 1646-2122.

Fingernail assumes an important role in hand function, facilitating the pinch, protecting the dorsal surface of distal phalanges and increasing sensitivity of fingertips. Fingernail avulsion is a severe injury of fingertips, which requires a prompt initial evaluation and adequate treatment, in order to avoid secondary deformities, painful sequels or unpredictable outcomes. We report a case of a patient with a complete fingernail avulsion, treated in the emergency service with a plastic flexible propylene substitute obtained from a sterile reservoir of a common infusion set with transthecal digital block. Using this technique it was possible to achieve an excellent functional and aesthetic outcome with low morbidity.

Keywords : Fingernail avulsion; Plastic substitute; Transthecal digital block.

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