Vascular microsurgery in ischemic hand due to repetitive traumatisms
Young patient, miner, diverse symptoms of bad vascularization in his hand like the bluish coloration of his fingers. The diagnosis points to an ischemic upper limb due to poor irrigation, caused by the progressive closure of the vessels due to repetitive microtraumas. ischemic hand The problem The continuous use of pneumatic machines that produce vibration can lead […]
Spanish Public Television (TVE): Dr Piñal restores by microsurgery the hands of a patient which were trapped by electric blinds
Patient, young woman, domestic accident when her hands got trapped by electric blinds. After more than twelve hours in the operating room, Dr Piñal and his surgical unit managed to restore functionality of the patient’s upper limbs through a combination of reconstructive microsurgery techniques (following video with english subtitles). As reported in the story by Verónica […]
Media: Dr Piñal reconstructs the hand of a merchant sailor through a pioneering microsurgery intervention in Spain
Alejandro Mayo, a merchant sailor, lost his thumb and a third of his left hand in a work accident on board of a tuna vessel in Atlantic waters. Upon his return, Mayo came into contact with Dr Piñal and his surgical team, which facilitated the development of a pioneering microsurgery procedure in Spain. (following video […]
Paralysis and nerve injuries: Tendon transfer for recovery of mobility in both hands in a patient with quadriplegia
Nerve lesions in their most severe manifestations can lead to paralysis, such as quadriplegia at different levels. These and other situations with nervous affection are approached by Dr. Piñal with advanced microsurgery techniques. The Spanish surgeon and his team base their clinical perspective on the reassignment of muscle-tendon functions, which involve the development of procedures such […]
Tendon transfer in case of nerve injury by hand crushing with muscle extrusion
Young male with a picture of nerve injuries from accidental hand crush, caught in a press and in a catastrophic situation. The limb has complete cuts at two levels in the wrist, which slice the nervous, musculotendinous and vascular systems. In turn, loss of muscle by extrusion is present. Tendon transfer The problem A context […]
Dr. Piñal honoured for his medical career at the 55th Congress of the Italian Society for Surgery of the Hand
The Spanish surgeon gave the keynote speech of the meeting and took part in several technical sessions.
Transfer of gracilis muscle in case of loss of forearm muscles in accident
Young patient, 17-year-old man, wrenched flexor muscles of the forearm due to a severe trauma in traffic accident, with tendon injuries and nerve damage. Dr. Piñal designs a scheme for approaching the case through microsurgery, with a transfer of the gracilis muscle or internal rectus. The problem After his accident, the patient visits the clinic of […]
Dr. Piñal takes part in the 72nd annual meeting of the American Society for Surgery of the Hand in San Francisco
The Spanish surgeon, one of the invited foreign speakers, addressed the latest techniques in reconstructive microsurgery and replantation.
Multifragmentary finger fractures: resolution through insertion of cannulated screws
The patient, a middle-aged male, presents severe multifragmentary crushing fractures of the proximal phalanges in the third, fourth and fifth fingers of his left hand. Dr. Piñal choose his technique of insertion of cannulated screws to facilitate the osteosynthesis. The problem Multifragmentary or comminuted fingers fractures present the additional difficulty of the bone’s break into […]
Advanced hand rheumatoid arthritis: surgery and prosthesis insertion
The patient, a middle-aged woman, presents a picture of advanced rheumatoid arthritis in both hands. The degree of dislocation of the upper extremities and the state of nodulosis – the appearance of rheumatoid nodules – allow us to evaluate the high level of impact of the situation. The problem Unlike osteoarthritis, which originates in processes […]