Introduction
synechiae, hand injury, pain, reduction of infection, injuries
SYNECHIAE
Nail bed injuries are the most common hand injury in childrenThe rationale for replacing the nail plate includes protection of the repair, reduction of infection, less pain at dressing changes, and splinting of the nail fold to prevent synechiae. The Cochrane reviewA pilot RCT informed the design and conduct of this definitive trial comparing replacing or discarding the fingernail after nail bed repair, and demonstrated that a large RCT was feasible