Toes to hand transplant in a case of accidental amputation with a mechanical saw

The patient, a 42-year-old male, suffers the amputation of three fingers of the left hand at different levels, in an accident with a mechanical saw that severely damages the index and middle fingers and, to a lesser extent, the ring finger. Dr. Piñal addresses the picture described by transplanting the two second toes to the […]

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 […]

Vascularized Joint and Hemi-Joint Flap

Vascularized Joint and Hemi-Joint Flap

Francisco del Piñal, M.D., Dr. Med. ASSH Surgical Anatomy: Flap Reconstruction chapter 44 321-336, 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) Vascularized Joint and Hemi-Joint Flap Nonvascularized joint and osteochondral reconstruction have poor […]

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 […]

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 […]