Introduction: Nail bed injury is one of the most common hand injuries in children. Even though controversy exists regarding the management of minor nail the injuries it is university accepted that severe nail bed injuries should be repaired to minimize long time deformities    The aim of the present study was to evaluate the functional and cosmetic results of nailbed repair.

Methods:. 147 had distal finger injury and 126 had documented nail bed injury. we tried to review the results of the 126 children.94 nail bed injuries in 86 children were reviewed and 40 children were lost for follow up. Follow up was from one yr to four years average follow up of 2.5 years.

Results: Results were determined for 94 nails after follow up examination by the authors, in all cases comparing the healed nail with the same nail on the opposite hand. New Nails were judged for shape, adherence, surface characteristics, splitting, and the appearance of the eponychial fold. Nonidentically shaped nails were narrower or shorter or had abnormal longitudinal or transverse curvature.

Conclusion: Surgical repair of the nail bed in children gives a reliable good functional and cosmetic outcome. Complications of sever nail bed injuries can be decreased by care full fold and nail bed repair.