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 […]

Five worrying signs after treatment or operation on a wrist fracture

In several of our previous conversations, Dr Piñal has insisted that a normal wrist is the one we’re not even aware it’s there, so therefore new or persistent sensations can point to the false resolution of a previous pathology or trauma. This is the case of wrist fractures, whose preceding treatment or subsequent surgery can […]