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.
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 […]
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 – […]
Dr. Piñal honored in Budapest for his contribution to the training of European hand surgeons
This recognition took place during the XVIIth edition of the annual congress of the Federation of European Societies for Surgery of the Hand Taking up the baton from the Spanish city of Santander, the Hungarian capital hosted last week the XVIIth edition of the annual meeting of the Federation of European Societies for Surgery of […]
Anatomical reconstruction of hand after tumor resection in auricular finger
The patient, an elderly woman, has a recurrent tumor in the little finger usually solved by a partial resection. Dr. Piñal opts in this case for a pioneering technique of anatomical reconstruction of the affected limb. The problem The main feature of the analyzed clinical picture is the existence of a recurrent tumor (ie recurrent […]
Severe Crush Injury to the Forearm and Hand. The Role of Microsurgery
Francisco del Piñal, MD, PhD, 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 […]