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 […]

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 […]

The catastrophic hand (I). The patient experience: hopes, plans and microsurgery

Google translation: The absence of armed conflicts and better labour security conditions have reduced the incidence oftraumatic hand injuries in Western countries. Yet emergency teams and ‘first response’ surgeons must face catastrophic hand situations. These ‘first response’ teams role  is key in laying the groundwork for getting as close as possible to what Dr. Del Pinal defines […]