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 […]
Dr Piñal presents a comprehensive guide for surgery in distal radius fractures in his new book

‘Atlas of of distal radius fractures’ has a practical approach, based on case studies of very diverse clinical contexts. Published worldwide by the prestigious German specialized publisher, Thieme, it defines, from the detailed analysis of specific cases, a comprehensive guide for the diagnosis, treatment and surgery of this profile of fractures.
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 […]
Testimonial: «I had neither mobility nor strength in the hands, now I put my tube, I eat, I shower and dress on my own and I can drive»

David, a young Cantabrian, 37 years old, with quadriplegia – C5 level injuries in the spinal cord – after a hit in the head trying to dive into: «I had neither mobility nor strength in my hands; now, I put my tube, I eat, shower and dress on my own and I can drive» After […]
Congenital hand differences: surgical answers to functional and aesthetic problems in children (II)
Second entry of Dr Piñal’s blog in his series dedicated to the formation problems of the upper limb in newborns: ‘Congenital hand differences: surgical answers to functional and aesthetic problems in children’ (II). Malformation of the hand
Dr Piñal, guest of honor at the congress of the Taiwan Society for Surgery of the Hand

The meeting will take place this coming May at the Linkou Chang Gung Memorial Hospital
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 […]