Revista Portuguesa de Ortopedia e Traumatologia
ISSN 1646-2122 ISSN 1646-2939
CARVALHO, Marcos et al. A importância do substituto plástico no tratamento da avulsão ungueal completa em contexto de urgência: Caso clínico. []. , 26, 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.
: Fingernail avulsion; Plastic substitute; Transthecal digital block.