"NINJA Trial: Fingernail Replacement After Nail Bed Repair"

The NINJA trial, a multicenter study, investigated the effectiveness of replacing the fingernail after nail bed repair in children. The study found no significant difference in surgical site infections or cosmetic outcomes between replacing the nail and discarding it after repair. The results suggest that there is no benefit in replacing the nail after nail bed repair, but the study does not address the broader question of whether nail bed injuries require any intervention at all. The author advocates for conservative management of most nail bed injuries and highlights the potential bias in the study's inclusion criteria.