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5Reinsertion of the nail

Reinsertion of the nail

Insert a needle with a 5-0 nonresorbable nylon suture from the dorsal aspect into the sinus, exiting the sinus distally to the eponychium.

Pass the needle through the proximal edge of the nail plate.
Then pass the needle back through the nail plate and the sinus of the nail, so that it exits level with the first pass of the suture, separated from it by approximately 5 mm.

Draw the nail plate back into the sinus by gentle traction on both ends of the suture.
Tie the suture over a cotton, or foam, ball to avoid skin pressure injury.