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 […]

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 […]

Primary Thumb Reconstruction in a Mutilated Hand

Francisco del Piñal, MD, Dr Med, Davide Pennazzato, MD, Esteban Urrutia, MD Hand Clinics Vol. 32, Issue 4, November, Pages 519-531 – © 2016 by Elsevier Inc. All rights reserved. ABSTRACT (full text pdf. below) Introduction  Without doubt, the most effective way of restoring the amputated thumb function is by replanting it. Any major effort is justifiable to do […]

Primary Thumb Reconstruction in a Mutilated Hand

Francisco del Piñal, MD, Dr Med, Davide Pennazzato, MD, Esteban Urrutia, MD Hand Clinics Vol. 32, Issue 4, November, Pages 519-531 – © 2016 by Elsevier Inc. All rights reserved. ABSTRACT (full text pdf. below) Introduction  Without doubt, the most effective way of restoring the amputated thumb function is by replanting it. Any major effort is justifiable to do […]