Elimination by microsurgery of pain in case of reflex sympathetic dystrophy in the lower limb
16-year-old girl with intense pain in her right foot. After two previous unsuccessful interventions, she was diagnosed with complex regional pain syndrome (CRPS) or reflex sympathetic dystrophy. The patient is polymedicated and suffers from severe functional difficulties.
Periosteal flap microsurgical transfer in case of humerus nonunion
The 20-year-old patient suffered an unconsolidated right humerus fracture with radial nerve injury one year before coming into contact with Dr. Piñal. Despite the modifications in the synthesis in two previous surgeries, the fracture had not been able to consolidate. On the contrary, in recent months the young woman had begun to suffer pain from […]
An Update on the Management of Severe Crush Injury to the Forearm and Hand
Francisco del Piñal, MD, Dr. Med. Clinics in Plastic Surgery Vol. 47, Issue 4, October, Pages 461-489 – © 2020 by Elsevier Inc. All rights reserved. ABSTRACT (full text pdf. below) An Update on the Management of Severe Crush Injury to the Forearm and Hand Summary Crush injuries rate among the most feared injuries for hand surgeons. Stiffness, […]
An Update on the Management of Severe Crush Injury to the Forearm and Hand
Francisco del Piñal, MD, Dr. Med. Clinics in Plastic Surgery Vol. 47, Issue 4, October, Pages 461-489 – © 2020 by Elsevier Inc. All rights reserved. ABSTRACT (full text pdf. below) An Update on the Management of Severe Crush Injury to the Forearm and Hand Summary Crush injuries rate among the most feared injuries for hand surgeons. Stiffness, […]
‘Plastic and Reconstructive Surgery’ awards an article by Dr Piñal as the best of 2019 in plastic and reconstructive surgery of the hand
The PRS Best Papers Awards 2020 distinguish the best articles published in the official journal of the American Society of Plastic Surgeons in different categories
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 […]
From amputation to mobility: neurocutaneous flap transfer in Dupuytren’s contracture
The patient, a 70-year-old man, presents a picture of Dupuytren’s disease in the ring and little fingers of his left hand, which are contractured in flexion (Dupuytren’s contracture) causing a serious functional limitation.
Surgery in multifragmented distal radius fracture
The patient, a 42 firefighter, suffers a right distal radius volar shearing fracture (that is, a break that occurs in a bone when subjected to two forces in parallel and opposite direction) in a motorcycle accident. Trauma affects both the metaphysis, which supports the articular surface, and the joint itself. distal radius fracture
Testimonial: “It felt like a wooden hand and full of pain”
Pilar (Madrid), 70, comes to Piñal y Asociados clinic in Madrid with a diagnosis of reflex sympathetic dystrophy or Sudeck’s atrophy, after an operation on a trapeziometacarpal osteoarthritis: «It felt like a wooden hand and full of pain».
Dr. Piñal participates as a lecturer in the teaching program of the Pulvertaft Hand Center, United Kingdom
The Spanish surgeon will address treatment and surgery in cases of catastrophic hand