PMC4601978_01
A = Clinical picture of the initial trauma; B + C = X-ray of the initial trauma; D = peroperative image of the nail bed; E = peroperative image of the nail; F = postoperative image after a 7-month follow-up.
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There was no loss of sensation and all movements in the distal interphalangeal joint were possible, but limited due to pain (Fig. 1A). Plain radiographs showed an intra-articular, multi-fragmentary fracture of the distal phalanx with a congruent distal interphalangeal joint (Fig. 1B, C). Prolene 6.0 was used as suture material (Fig. 1D). The nail was replaced and fixated by proximal and distal sutures with Ethilon 5.0 (Fig. 1E) to function as a splint and natural cover for 2 weeks. The nail bed recovered completely and the nail plate seemed to develop without any deformities (Fig. 1F).