Vascularized neurocutaneous flap in case of Dupuytren

Vascularized neurocutaneous free flaps in Dupuytren cases may be the best option when the affected hand bed is poor, the defect is long or there is a loss of concomitant tissue, variables typical of cases with previous surgery. This is the starting situation of the patient under analysis, a 53-year-old male with an advanced Dupuytren’s […]

Dr Piñal addresses Sudeck’s atrophy or reflex sympathetic dystrophy at the congress of the Asian Pacific Federation of Societies for Surgery of the Hand

The twelfth edition of this meeting brought together several thousand physicians in the Australian city of Melbourne. Melbourne hosted last week the 12th edition of the Asian Pacific Federation of Societies for Surgery of the Hand (APFSSH) triennial congress. The Spanish surgeon Francisco del Piñal was part of the international cast of guest speakers and […]

Surgical elimination of neuropathic pain in the sciatic and pudendal nerves

The patient has suffered for several years a strong neuropathic pain in the hip and gluteal area due to a neurostenalgia of the sciatic and pudendal nerves. This nervous condition causes inability to sit or adopt any posture that involves hip flexion without pain, but can be eliminated by surgery.

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 […]