Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 10/13/2025

Splinting After Fingernail Removal

Splinting Technique and Materials

  • The American Academy of Dermatology recommends using a flexible plastic tube splint, which is effective and inexpensive for lateral nail bed injuries and ingrown nail procedures, and can be secured with formable acrylic for fixation 1, 2

Critical Management Points

  • The American Academy of Dermatology suggests covering the splinted nail bed with a clean dressing to reduce contamination risk, and ensuring adequate padding around the splint to prevent pressure necrosis and allow for swelling 3
  • It is recommended to avoid overtight dressings that could compromise circulation, according to clinical guidelines 4