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 […]
Congenital hand differences: surgical answers to functional and aesthetic problems in children (III)

In this third entry of his series on the problems of differentiation and formation in the hand of the newborn (congenital malformations), Dr Piñal approaches pathologies such as syndactyly, duplication of the thumb, cleft hand or symbrachydactyly from real cases.
Testimonial: «The intervention of Dr. Piñal gives me the freedom to fend for myself»

Marius Constantin, 28 years old (Zalla, Vizcaya, Spain), loss of the five fingers of his right hand due to the explosion of a high-powered firecracker: «The intervention of Dr. Piñal gives me the freedom to fend for myself».
Severe Crush Injury to the Forearm and Hand. The Role of Microsurgery

Francisco del Piñal, MD, PhDa, Esteban Urrutia, MD, Maciej Klich, MD Clinics in Plastic Surgery Vol. 40, Issue 4, April, Pages 233-255 – © 2016 by Elsevier Inc. All rights reserved. ABSTRACT (full text pdf. below) Severe Crush Injury to the Forearm and Hand. The Role of Microsurgery Summary Crush injuries rate among the most feared injuries for […]
Catastrophic hand (IV). Success stories in amputations, crushings, etc.

With success rates above 95% in his interventions, Dr. Piñal is considered one of the world’s upper limb best surgeons. A trajectory built, among other medical fields, on the definition of a landmark theoretical-practical framework in the clinical approach of cases of catastrophic hand, drawn from the development and application of techniques in microsurgery that […]
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 […]
Intense agenda for Dr. Piñal during the 13th IFSSH Congress in Buenos Aires

This meeting, considered the most important international event on hand surgery, gathered more than 1000 physicians from all over the world at the Argentine capital
The catastrophic hand (III): Possibilities of microsurgery for patients with serious injuries

There is no narrow definition of catastrophic hand, but with these couple of terms we describe an upper limb with limited functionality, bone malunions and aesthetical damages (mutilations and amputations, for example) after severe trauma.
«We are able to reconnect blood vessels of 0.2 millimeters.» Microsurgery opens up new horizons for the future to amputees

Microsurgery opens up new horizons for the future to people who have had the misfortune to suffer traumatic amputations, as a result of work accidents or other types of contexts. The surgical ‘miracle’ that involves the reconnection of nerves, tendons or blood vessels with just the thickness of a hair – in the transfers of […]