Five worrying signs after treatment or operation on a wrist fracture
In several of our previous conversations, Dr Piñal has insisted that a normal wrist is the one we’re not even aware it’s there, so therefore new or persistent sensations can point to the false resolution of a previous pathology or trauma. This is the case of wrist fractures, whose preceding treatment or subsequent surgery can […]
Testimonial: «I had neither mobility nor strength in the hands, now I put my tube, I eat, I shower and dress on my own and I can drive»
David, a young Cantabrian, 37 years old, with quadriplegia – C5 level injuries in the spinal cord – after a hit in the head trying to dive into: «I had neither mobility nor strength in my hands; now, I put my tube, I eat, shower and dress on my own and I can drive» After […]
Congenital hand differences: surgical answers to functional and aesthetic problems in children (II)
Second entry of Dr Piñal’s blog in his series dedicated to the formation problems of the upper limb in newborns: ‘Congenital hand differences: surgical answers to functional and aesthetic problems in children’ (II). Malformation of the hand
Congenital hand differences: surgical answers to functional and aesthetic problems in children (I)
Under the label of congenital malformation of the hand we find different pathologies, or combinations thereof, which are characterized by their functional and aesthetic impact on the upper extremity of the newborn: syndactyly, polydactyly or aplasia in the fingers, among them. hand malformations Also, these malformations of the hand have very different levels of severity […]
Dr Piñal, guest of honor at the congress of the Taiwan Society for Surgery of the Hand
The meeting will take place this coming May at the Linkou Chang Gung Memorial Hospital
Vascular microsurgery in ischemic hand due to repetitive traumatisms
Young patient, miner, diverse symptoms of bad vascularization in his hand like the bluish coloration of his fingers. The diagnosis points to an ischemic upper limb due to poor irrigation, caused by the progressive closure of the vessels due to repetitive microtraumas. ischemic hand The problem The continuous use of pneumatic machines that produce vibration can lead […]
Spanish Public Television (TVE): Dr Piñal restores by microsurgery the hands of a patient which were trapped by electric blinds
Patient, young woman, domestic accident when her hands got trapped by electric blinds. After more than twelve hours in the operating room, Dr Piñal and his surgical unit managed to restore functionality of the patient’s upper limbs through a combination of reconstructive microsurgery techniques (following video with english subtitles). As reported in the story by Verónica […]
Paralysis and nerve injuries: Tendon transfer for recovery of mobility in both hands in a patient with quadriplegia
Nerve lesions in their most severe manifestations can lead to paralysis, such as quadriplegia at different levels. These and other situations with nervous affection are approached by Dr. Piñal with advanced microsurgery techniques. The Spanish surgeon and his team base their clinical perspective on the reassignment of muscle-tendon functions, which involve the development of procedures such […]
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 […]
Transfer of gracilis muscle in case of loss of forearm muscles in accident
Young patient, 17-year-old man, wrenched flexor muscles of the forearm due to a severe trauma in traffic accident, with tendon injuries and nerve damage. Dr. Piñal designs a scheme for approaching the case through microsurgery, with a transfer of the gracilis muscle or internal rectus. The problem After his accident, the patient visits the clinic of […]