This study aimed to assess the treatment process of open, unstable tuft fractures occurring in toddlers and preschool-aged children treated using a 25-gauge hypodermic needle in the emergency department, and the cosmetic and functional results achieved by this treatment. This retrospective cohort study included a total of 72 patients. Children aged two to six years were included in the study. Van Beek classification was used for the evaluation of nail bed injuries. Cosmetic results were evaluated on the basis of Zook classification whereas functional results were evaluated according to the Buck-Gramko score simplified by Nietosvaara et al. The patient population consisted of 52 men and 20 women. The mean age was 4 ± 1.33 years. The operating time was 19.17 ± 3.66 minutes and the time to union was 46.68 ± 4.84 days. While excellent and good functional results were obtained in 65 (90.2%) of the patients, excellent and very good cosmetic results were obtained in 51 (70.8%) patients. Unless there is an accompanying extremity fracture, unstable pediatric tuft fractures can be successfully fixed with a hypodermic needle in the emergency department. Gentle and precise repair of the nail bed may provide cosmetically and functionally satisfactory results.

本研究旨在评估在急诊科使用 25 号皮下注射针治疗幼儿和学龄前儿童发生的开放性不稳定簇状骨折的治疗过程，以及通过这种治疗所取得的美容和功能效果。这项回顾性队列研究共有 72 名患者。该研究包括两岁至六岁的儿童。Van Beek 分类用于评估甲床损伤。美容结果根据Zook分类进行评估，而功能结果根据Nietosvaara等人简化的Buck-Gramko评分进行评估。患者群体包括 52 名男性和 20 名女性。平均年龄为 4 ± 1.33 岁。手术时间为19.17±3.66分钟，愈合时间为46.68±4.84天。65 名 (90.2%) 患者获得了优异且良好的功能结果，51 名 (70.8%) 患者获得了优异且非常好的美容效果。除非伴有四肢骨折，否则不稳定的儿童簇状骨折可以在急诊室用皮下注射针成功固定。温和而精确地修复甲床可提供美观和功能上令人满意的结果。