avulsed fingernail

A s you can see in the picture above, after removing the nail you can see the bed containing a new nail. I was able to evacuate the blood clots surrounding it and a fresh nail bed is showing.
The problem with the textbook management is that no one challenged it up to this time. Medical schools still teach the old method to young students. And so, we end up with patients treated the wrong way.
Another thing, the old method of boring a hole into the nail bed produces a dead nail which is ugly to look at and this eventually falls off if it does not generate attachment on the old nail bed.  This usually takes about 21 days and  the patient would have a black fingernail all this time. To some, this is  advantageous since they don't have to use black nail polish.