A 20-year-old female patient sustains a dorsal injury to her long finger that results in a complete loss of her nail bed. The patient is involved in the performing arts and states she needs to have a new nail grow. Which of the following is the best option to provide her with new nail plate growth?

• • Split-thickness skin graft
  A split-thickness skin graft is a coverage option for fingertip injuries, but will not provide new nail plate growth.

 

• Full-thickness skin graft

A full-thickness skin graft is a coverage option for fingertip injuries, but will not provide new nail plate growth.

 

 

• Free vascularized toe nail bed transfer

 

A free vascularized toe nail bed transfer will transfer a germinal matrix and a sterile matrix from the toe to allow for growth of a new nail plate.

• Moberg flap

A Moberg flap is a coverage option for volar oblique thumb tip injuries, but will not provide new nail plate growth.