Qu'est-ce que la reconstruction du lit de l'ongle avec greffe : aperçu, avantages et résultats attendus

Définition et aperçu

Une reconstruction du lit de l'ongle avec greffe est une intervention chirurgicale réalisée lorsque le lit de l'ongle a été gravement endommagé. Le but de la procédure est de restaurer son apparence et sa fonction. Les dommages au lit de l'ongle se produisent généralement lorsque le bout du doigt ou l'ongle se blesse, par exemple lorsqu'ils sont pris dans une porte ou écrasés sous un objet lourd. De telles blessures peuvent endommager la phalange distale, la pulpe ou le rembourrage, les tendons et les terminaisons nerveuses.

Qui devrait subir et résultats attendus

La procédure est destinée à ceux qui souffrent de blessures graves aux extrémités qui entraînent de graves dommages au lit de l'ongle.

Le but du traitement est de restaurer l'anatomie normale du lit de l'ongle et des structures qui l'entourent. Une reconstruction devient souvent nécessaire si tout ou partie du lit de l'ongle manque ou ne peut plus être réparé. Dans certains cas, la reconstruction implique une procédure de greffe, ou lorsqu'un lambeau de tissu est prélevé sur le bout d'un doigt sain pour remplacer le tissu perdu dans le bout du doigt blessé afin d'éviter les déformations du doigt.

Dans la plupart des reconstructions du lit unguéal avec greffe, les résultats sont tout à fait satisfaisants. La cicatrisation des tissus mous, ainsi que la croissance future des ongles, sont généralement bonnes.

Comment se déroule la procédure ?

Avant la reconstruction du lit de l'ongle, le patient est soumis à une radiographie procédure d'évaluation de l'étendue de la blessure.

S'il y a un hématome, le sang est d'abord drainé en faisant un petit trou dans l'ongle, ce qui soulage la pression et soulage la douleur et l'inflammation au cours du processus.

Pour restaurer le lit de l'ongle, il est souvent nécessaire de réparer et d'aligner d'abord les fragments d'os. S'il y a des fractures plus importantes, il peut être nécessaire d'atteller l'os. Il en est de même pour les tendons lésés.

Une fois les os et les tendons affectés réparés, l'apparence du lit de l'ongle est restaurée à la normale en utilisant des lambeaux de peau ou une greffe de peau prélevée sur d'autres parties du corps. Les donneurs courants sont les doigts ou les orteils non affectés. Ce sont généralement des greffes d'épaisseur fractionnée.

Risques et complications possibles

La reconstruction du lit de l'ongle avec greffe est associée à certains risques et complications potentielles. Ceux-ci inclus:

• Réaction allergique au greffon
• Cicatrices

• Déformations des ongles - Celles-ci sont très probables si la blessure ou le traumatisme de l'ongle est grave. Ces complications peuvent devenir plus visibles à mesure que l'ongle pousse, ce qui peut prendre de 3 à 6 mois.
  
  Les références:

• “Nail bed injuries.” American Society for Surgery of the Hand. https://www.assh.org/LinkClick.aspx?fileticket=LvoYkMkWmRI%3D&portalid=1

• Takeda A, Fukuda R, Takahashi T, Nakamura T, Uchinuma E. "Reconstruction du bout des doigts par greffe de lit d'ongle à l'aide d'un lambeau thénar." Chirurgie Plastique Esthétique. 2002 mars ; 26(2): 142-145. http://link.springer.com/article/10.1007/s00266-002-1470-7

/trp_language]

[wp_show_posts id=””]
## What is Reconstruction of Nail Bed with Graft?

Reconstruction of Nail Bed ⁤with Graft is a surgical procedure that involves a grafting of a new nail bed to help restore a severely damaged or damaged nail bed. During the procedure, ⁣a‍ new nail bed is constructed by⁢ using a⁤ piece of living tissue, usually taken from the forearm or‍ leg, and ⁣then it is carefully grafted onto the affected area of the nail bed. This helps to restore the natural shape and appearance of the nail, providing a better-looking and healthier nail.



The procedure‍ is⁢ also referred to as⁢ nail reconstruction, nail restoration, or nail reconstruction surgery. It is a minimally invasive procedure that can produce excellent results in most cases. In ⁤some cases, the procedure can be performed using a combination of two ​or more⁤ techniques, such as⁢ nail grafting and​ artificial nail overlay.



## Overview

The reconstruction of nail bed‍ with graft surgery involves the creation ⁤of a new nail bed using a donor ⁣tissue,⁣ usually taken from the arm or leg. The surgeon makes an incision along the side of ⁢the⁢ damaged nail and removes any scar or ​damaged tissue. Then, a piece of living tissue from⁤ the donor site is carefully grafted on⁤ to the‌ damaged ⁣area.



The donor tissue is securely held in place using sutures and is securely sutured ⁣to prevent any future complications. Once⁢ the donor ⁤tissue is in place, the ⁣nail ⁢bed is reconstructed and the natural shape and‍ appearance of the nail are ​restored.



Reconstruction of nail bed with graft ⁤is a microsurgical procedure that offers ⁤excellent results in terms of cosmetic appeal and restoring nail health. This can be⁢ used to help treat injured nails, damaged or infected nails, and even damaged or missing nails.



## Benefits

Reconstruction of nail ‌bed with‍ graft ⁢is a safe and‌ effective procedure that can result in an improved cosmetic appearance and better nail‍ health. The ​procedure ⁤provides a number of benefits, including:



– ⁣Improved nail appearance: By reconstructing the nail bed, ⁣the shape and appearance of the damaged nail can ‍be‌ restored. This can help to improve the overall aesthetic of the nail⁢ and improve self-confidence.



– Improved nail health: Reconstruction of​ nail bed with graft helps to protect the remaining nail ‍bed from further​ damage and⁤ infection. Once the new⁢ nail bed is in place, the ⁢nail can ‍be⁢ treated with ⁣topical medications and moisturisers to help keep it healthy.



– Reduced risk of infection: By reconstructing the nail ⁤bed, the risk of infection is significantly reduced. This procedure can​ also help to reduce the⁤ pain⁤ and discomfort associated with nail bed infections.



– Quicker healing time: The recovery time for nail ⁢bed reconstruction with graft is typically much shorter than other procedures, such as nail extensions or artificial nails. This ⁣is due to the‌ fact that​ the donor tissue is ‍typically ready to be placed immediately after the procedure,​ allowing⁣ for a faster healing process.



## Expected Results

Reconstruction of nail bed with graft can provide excellent results in terms of restoring the natural⁤ shape and appearance of the damaged nail. However, it is important ‍to note that the exact outcome of the procedure will depend on the severity of the damage and the patient’s overall health and medical ⁢history. In some cases, ⁢additional procedures may be necessary ‌to achieve the desired results.



In most cases, the nail can be expected to look and function‌ normally following the procedure. It may⁤ take several weeks for the nail to fully grow back and attain its natural shape and ⁣colour. However, it is important to note that there may be some minor swelling‍ and redness ⁢in the affected area, which may⁣ take a few days to resolve.



It is also important to note that the results of the procedure may be temporary, and that the reconstructed nail may not last as⁤ long as the original. Regular nail maintenance and trimming ⁣is​ essential in order to ensure that the nail retains its normal shape and texture over time.



## Conclusion

Reconstruction of nail bed with graft is a​ safe and effective procedure that ‍can help to restore the appearance of a damaged nail bed. This procedure can provide excellent results in⁣ terms of both aesthetic appeal and improved nail health.⁢ However, it is important to remember that the exact ⁢results of the ⁤procedure will ​depend on the severity of the damage, the⁤ overall health and medical history of the patient, and the experience of the surgeon.



It is also important to remember that the results of this procedure may be⁣ temporary,⁤ and that regular trimming and maintenance of the nail ⁢may‌ be necessary to maintain its‍ normal shape and texture ⁣over time. With the⁤ help of a skilled surgeon‍ and regular​ nail maintenance, patients can expect to enjoy the benefits of this procedure for many years to come.