Extreme Thumb Losses: Reconstructive Strategies

Francisco del Piñal, M.D., Dr. Med. Plastic and Reconstructive Surgery 144(3):665-677, September 2019 – Copyright © 2019 American Society of Plastic Surgeons. ABSTRACT (full text pdf. below) Extreme Thumb Losses: Reconstructive Strategies Background  Historically, complex amputations of the thumb have been managed in two stages and often require additional soft-tissue and tendon transfer for successful outcomes. This […]

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 […]