Dr Piñal: «There are many patients labeled as sick of reflex sympathetic dystrophy or Sudeck’s dystrophy who actually suffer from a pathology that we haven’t been able to identify»

As a result of his research work, Dr. Piñal believes that after diagnoses of reflex sympathetic dystrophy, we find diagnostic mistakes and lack of knowledge of a hidden pathology. In turn, he has identified that around 20% of these cases can be addressed as neurostenalgies and forms of dynamic compression of the median nerve.

Thumb reconstruction by microsurgery after accidental amputation

The patient, male, suffers the amputation of his right hand’s thumb and a serious damage to the surrounding tissue and musculoskeletal structure. The impact, caused by an accident with a fan, requires the design of a microsurgical procedure by Dr Piñal. thumb reconstruction   The problem The pre-operative scenario clearly shows the disabling consequences of […]

Neurocutaneous Toe Free Flap with Pulp

Francisco del Piñal, M.D., Dr. Med. ASSH Surgical Anatomy: Flap Reconstruction chapter 43 313-320, 2018. Edited by Kevin C. Chung, MD, MS and Steven L. Moran, MD – Copyright © 2018 American Society for Surgery of the Hand (ASSH) INTRODUCTORY PARAGRAPH (full text pdf. below) Neurocutaneous Toe Free Flap with Pulp Soft tissue reconstruction of the fingers […]