Physiology of the nail apparatus: Surgical consequences

Knowledge of nail physiology is mandatory to understand nail pathologies, and to know what to repair and what to expect from your repair. Unfortunately, nail physiology in humans is not completely understood. However, there are some data that have been validated and must be known before treating pat...

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Veröffentlicht in:Hand surgery and rehabilitation 2024-04, Vol.43, p.101654, Article 101654
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container_title Hand surgery and rehabilitation
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creator Dumontier, Christian
description Knowledge of nail physiology is mandatory to understand nail pathologies, and to know what to repair and what to expect from your repair. Unfortunately, nail physiology in humans is not completely understood. However, there are some data that have been validated and must be known before treating patients. The nail plate is mostly made of keratins. It is produced solely by the nail matrix. The nail bed is mostly responsible for nail pate adhesion. At the hyponychium, the plate loses its adherence. The hyponychium is the first barrier of defense preventing bacteria and fungi from invading the subungual area. All these structures, along with the nail folds, are responsible for the orientation of nail-plate growth. However, many questions, such as whether to replace the nail plate at end of procedure, remain open.
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2468-1210
2468-1210
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subjects Humans
Hyponychium
Keratins - metabolism
Nail
Nail bed
Nail Diseases - physiopathology
Nail Diseases - surgery
Nail evolution
Nail matrix growth
Nails
Physiology
title Physiology of the nail apparatus: Surgical consequences
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