Thin Split-Thickness Toenail Bed Grafts for Avulsed Nail Bed Defects

Shang Chin Hsieh, Shao Liang Chen, Tim Mo Chen, Tiang Yeu Cheng, Hsian-Jenn Wang

Research output: Contribution to journalArticlepeer-review

20 Citations (Scopus)


Avulsed defect of a fingernail bed is a common injury in acute hand trauma. Insufficient management for this type of nail bed avulsion often leads to an irregular and nonadherent nail. The use of thin split-thickness sterile matrix graft from the great toe for immediate replacement of a nail bed defect can regain a smooth, adherent, and normal-looking nail. Between May of 1998 and December of 2001, we used thin split-thickness toenail bed grafts in 13 fingers of 12 patients with avulsed defects of the nail bed. The end results of this technique were excellent and no deformities occurred in the graft donor area. Thin split-thickness toenail bed graft is a good choice for the treatment of acute nail bed avulsion.

Original languageEnglish
Pages (from-to)375-379
Number of pages5
JournalAnnals of Plastic Surgery
Issue number4
Publication statusPublished - Apr 1 2004
Externally publishedYes


  • Nail bed graft
  • Nail bed injury

ASJC Scopus subject areas

  • Surgery


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