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 […]

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 […]

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 […]

Arthritis and osteoarthritis in the hands: difference, treatment and surgery

Pain, deformity and limitations in function are the only common points of arthritis and osteoarthritis in the hands. Two pathologies with completely different clinical origins and approaches that sometimes lead to confusion for the undiagnosed or potential patients when analyzing symptoms, age of occurrence, etc. In this new entry of his videoblog, Dr. Piñal – […]

Severe Crush Injury to the Forearm and Hand. The Role of Microsurgery

Francisco del Piñal, MD, PhDa, Esteban Urrutia, MD, Maciej Klich, MD Clinics in Plastic Surgery Vol. 40, Issue 4, April, Pages 233-255 – © 2016 by Elsevier Inc. All rights reserved. ABSTRACT (full text pdf. below) Severe Crush Injury to the Forearm and Hand. The Role of Microsurgery  Summary  Crush injuries rate among the most feared injuries for […]