Challenge of the Week / Hand & Wrist / 08.30.19

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.