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 […]

Microsurgical solution to accidental feet injuries with a mower

Marcelino and Lucila, patients of two and four years old. They suffer severe foot injuries after mower accidents. Dr Piñal addresses the damage in both cases with the autologous transfer of a vascularized flap of muscle gracilis, taken from the inner thigh.

Finger fractures: characteristics and surgery applied to sequelae correction

In this new blog entry Dr. Piñal addresses finger fractures and their potential sequelae, such as lack of mobility, angulated fingers or stiffness. Likewise, he analyzes his technique of cannulated screws insertion in the medullary canal of the bones, which allows to fix the mentioned fractures and their early mobilization. The insertion of cannulated screws […]

Vascularized neurocutaneous flap transplant in case of reflex sympathetic dystrophy

Patient, 8 years old, suffers a partial amputation of the left thumb in accident. She attends the clinic of Piñal y Asociados 12 weeks after the trauma with a diagnosis of reflex sympathetic dystrophy or Sudeck’s atrophy. The problem Before being treated by the Spanish surgeon and his surgical unit, an attempt is made for […]

Microsurgical procedure in case of Volkmann’s syndrome

A 15-year-old patient with a proximal fracture on the right forearm. She goes to the clinic of Dr. Piñal four months after a previous intervention, with severe functional limitations and a picture of pain and paralysis due to a Volkmann’s syndrome. This is a set of impacts linked to ischemic necrosis of muscles and nerves, […]

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.