The catastrophic hand (I). The patient experience: hopes, plans and microsurgery
Google translation: The absence of armed conflicts and better labour security conditions have reduced the incidence oftraumatic hand injuries in Western countries. Yet emergency teams and ‘first response’ surgeons must face catastrophic hand situations. These ‘first response’ teams role is key in laying the groundwork for getting as close as possible to what Dr. Del Pinal defines […]
Wrist fracture: “There is hope for all patients, even those with previous failed surgery”
Google translation: Wrist fractures are part of our own vital activity. For children and youth, these are high-energy fractures, ie, the trauma caused by traffic accidents, sports injuries, falls from heights, etc.. On the contrary, when the patient grows old, the wrist low-energy fracture mechanisms come into play, such as small ‘slips’ – and bone […]
Piñal gives the master conference on hand surgery at the National Congress of SECPRE
This nationwide scientific-medical meeting, in its 48th edition, took place from June 5 to 7 in the town of Arona, Tenerife (Canary Islands).
Dr. Piñal: «Reflex sympathetic dystrophy does not exist, it is a ‘scam’, a catch-all in which to hide what goes beyond our knowledge»
Under the name of syndrome of reflex sympathetic dystrophy (for its acronym in English, RSD and CRPS * 1) a whole series of symptoms are grouped – continuous pain, redness, burning, swelling, etc. – that usually appear in patients who have previously suffered some type of trauma or fracture.
Dr. Piñal: «If I had to undergo carpal tunnel surgery, I would never do it by endoscopy.» «Doctor, my hands feel numb» (II)
The nocturnal pains that prevent falling asleep, the constant tingling and the hands that feel numb, the loss of sensitivity and manual ability, turn the carpal tunnel syndrome into a real daily curse for those who suffer it. A desperating situation which can make the patient susceptible to put their trust in ‘new surgical routes’, […]
Tendonitis: treatment of trigger fingers and De Quervain syndrome
Tendons are bands of tissue whose main function is to connect muscle and bone, transmitting the impulse of muscular contraction that facilitates movement. Therefore, any damage or condition that they suffer has important disabling effects on the patient. This is the case of tendon inflammations, known as tendonitis, with two manifestations of special impact such […]
Treatment of radius fractures: how to avoid a life with pain and limited personal autonomy
There are several fractures of the upper limb with profoundly limiting effects on the patient’s daily life, if they are not treated as required. One of them is the breakage of the radius, in its different forms, also known as Colles fracture.
«We are able to reconnect blood vessels of 0.2 millimeters.» Microsurgery opens up new horizons for the future to amputees
Microsurgery opens up new horizons for the future to people who have had the misfortune to suffer traumatic amputations, as a result of work accidents or other types of contexts. The surgical ‘miracle’ that involves the reconnection of nerves, tendons or blood vessels with just the thickness of a hair – in the transfers of […]
Testimonial: “I’ll be able to drive, use cutlery… Dr. Del Piñal has given me my life back”
Antonio Fernández, Santander, 44, crushing amputation to the wrist of his left hand, labor accident. “I’ll be able to drive, use cutlery… Dr. Del Piñal has given me my life back”.
Non-Typical Replantations and Revascularizations of the Thumb (Sp)
Del Piñal, F., Herrero F., Fuente M., Jado E., García Cabeza J.M. Cirugía Plástica Iberoamericana Vol. 27, Nº 1, Marzo 2001, Páginas 1-13 ABSTRACT (full text, pdf. below, Sp ) Non-Typical Replantations and Revascularizations of the Thumb (Sp) Nine patients are presented which after sustaining thumb amputation or devascularization required uncornmon manoeuvres for salvage or reconstruction. The mechanism […]