There is no consensus among surgeons what to do with this much more laymen what to do with their partially avulsed fingernail. This was pinned by a car door 3 days before consulting me. There was hematoma ( blood clot) around the fingernail with pus formation and the fingernail is movable not fixed as in normal fingernails.
Textbooks would tell you to bore a hole right on top of the fingernail to release the blood clot formed underneath. The problem with this procedure is that you scare the patient while you are doing it. It employs a heated syringe needle while the patient is watching and piercing the fingernail with force. I have not seen a patient brave enough to see a glowing metal being inserted to his fingernail.
See the result tomorrow.
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