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The use of autologous grafts in the reconstruction of nail-bed injuries is a topic
that has received variable attention in the literature. With the exception of a few
sentinel articles with large patient cohorts, most techniques have been reported with
only anecdotal clinical support. Nail grafting remains, however, a subject that is
extremely important in the total care of hand injuries. Grafting is one of the only
reconstructive modalities for a majority of nail-bed injuries with avulsed tissue
as well as for chronic, scarred nail deformities. We review the literature and summarize
the techniques available for a variety of circumstances.
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© 2002 American Society for Surgery of the Hand. Published by Elsevier Inc.