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The JBJS Quiz of the Month is a collection of 10 relevant questions from each orthopaedic subspecialty. The questions are drawn from JBJS Clinical Classroom, which houses over 4,500 questions and 3,100 learning resources. Take the Quiz to see how you score against your peers!

NOTE: This quiz does not earn users CME credits. The questions must be answered within Clinical Classroom to earn CME credits.

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.

 

 

 

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