With the aim of completing the training in areas as the management of traumatic hand-wrist, urgent and pre-programmed microsurgery (replantation, toes to hand transplant, lining) and wrist arthroscopy, both for residents and specialists, the Instituto de Cirugía Plástica y de la Mano Doctor Piñal y Asociados offers a Resident Training Programme. Since its first edition took place in 1998, more than a hundred Spanish and foreign visitors have participated in our training activities.

During the 2-month rotation period, the visitors (a max of 2) come with us in our patient-oriented activity, in 5 appointment sessions and 4 in the operating room on a weekly basis. This part will be completed each week with bibliographic and other work, in sessions ran by members of our team.

If you wish to apply for a rotation, please contact Dr. Carlos Thams, via e-mail drthams@drpinal.com. We strongly recommend you to submit your request for your 4th or 5th year of residency, and sufficiently in advance. Currently, there exists a more than 20 month waiting list. The rotation is reserved according to the order of application.

 

Arthroscopically Guided Osteotomy for Management of Intra-Articular Distal Radius Malunions.
Francisco del Piñal, MD, PhD, Leopoldo Cagigal, MD, Francisco J. García-Bernal, MD, PhD,
Alexis Studer, MD, Javier Regalado, MD, Carlos Thams, MD
J Hand Surg 2010;35A:392–397. © 2010 Published by Elsevier Inc. on behalf of the American Society for Surgery of the Hand.

Late Salvage of the Ischemic Finger After Crush Injury Using Flow-Through Flaps: Case Report.
Francisco del Piñal, MD, PhD, Francisco J. García-Bernal, MD, PhD, Leopoldo Cagigal, MD,
Alexis Studer, MD, Higinio Ayala, MD, Javier Regalado, MD
J Hand Surg 2009;34A:453–457. © 2009

Dry arthroscopy of the wrist: its role in the management of articular distal radius fracture.
Francisco del Piñal
Scandinavian Journal of Surgery 97: 1 –000, 2008.

Ischemic toe encountered during harvesting: report of 6 cases.
Francisco del Piñal, MD, PhD, Francisco J. García-Bernal, MD, PhD, Higinio Ayala, MD,
Leopoldo Cagigal, MD, Javier Regalado, MD, Alexis Studer, MD
J Hand Surg 2008;33A:1820–1825.

Super-thinned iliac flap for major defects on the elbow and wrist flexion creases.
Francisco del Piñal, MD, PhD, Francisco J. García-Bernal, MD, PhD, Alexis Studer, MD, Higinio Ayala, MD,
Leopoldo Cagigal, MD, Javier Regalado, MD
J Hand Surg 2008;33A:1899–1904.

Evolving concepts in the management of the bone gap in the upper limb. Long and small defects.
Francisco del Piñal, Marco Innocenti
Journal of Plastic, Reconstructive & Aesthetic Surgery (2007) 60, 776e792.

Severe mutilating injuries to the hand: guidelines for organizing the chaos.
Francisco del Piñal
Journal of Plastic, Reconstructive & Aesthetic Surgery (2007) 60, 816e827.

A Technique to Improve Foot Appearance After Trimmed Toe or Hallux Harvesting.
Francisco del Piñal, MD, PhD, Francisco J. García-Bernal, MD, PhD, Javier Regalado, MD, Alexis Studer, MD, Leopoldo Cagigal, MD, Higinio Ayala, MD
J Hand Surg 2007;32A Nº3 Mar 2007:409-413.

The Tibial Second Toe Vascularized Neurocutaneous Free Flap for Major Digital Nerve Defects.
Francisco del Piñal, MD, PhD, Francisco J. García-Bernal, MD, PhD, Javier Regalado, MD, Alexis Studer, MD, Leopoldo Cagigal, MD, Higinio Ayala, MD
J Hand Surg 2007;32A Nº2 Feb 2007:209-217.

Dry Arthroscopy of the Wrist: Surgical Technique.
Francisco del Piñal, MD, PhD, Francisco J. García-Bernal, MD, PhD, Daniele Pisani, MD, Javier Regalado, MD, Higinio Ayala, MD, Alexis Studer, MD
J Hand Surg 2007;32A:119–123.

Massive Hand Crush: The role of a free muscle flap to obliterate the dead space and to clear deep infection.
F Del Pinal, D. Pisani, F.J. Garcia-Bernal , J. Regalado, F.J Del Pino, and H. Ayala.
J Hand Surg (British and European Volume, 2006) 31B: 6: 588–592.

Vascularized bone blocks from the toe phalanx to solve complex intercalated defects in the fingers.
Pinal F Del, Garcia-Bernal FJ, Delgado J, Sanmartin M , Regalado J, Cagigal L.
J Hand Surg [Am]. 2006 Sep;31(7):1075-82.

Correction of malunited intra-articular distal radius fractures with an inside-out osteotomy technique.
Pinal F Del, Garcia-Bernal FJ, Delgado J, Sanmartin M, Regalado J, Cagigal L.
J Hand Surg [Am]. 2006 Jul-Aug;31(6):1029-34.

Reconstruction of the distal radius facet by a free vascularized osteochondral autograft: anatomic study and report of a case.
Piñal F del, García-Bernal JF, Delgado J, Regalado J, Sanmartín M.
JOURNAL OF HAND SURGERY (American). 30:1200-1214.2005.

Results of open reduction, osteotomy, and internal fixation for late-presenting malunited intra-articular fractures of the base of the middle phalanx.
Del Piñal F., Garcia-Bernal FJ, Delgado J, Sanmartin M, Regalado J.
JOURNAL OF HAND SURGERY (American). 2005 Sep;30(5):1039.e1-1039.e14

Overcoming soft-tissue deficiency in toe-to-hand transfer using a dorsalis pedis fasciosubcutaneous toe free flap: Surgical technique.
Del Piñal F., García-Bernal FJ, Delgado J, Regalado J, Sanmartín M, García-Fernández D
JOURNAL OF HAND SURGERY (American). 2005; 30:111-9.

Is posttraumatic first web contracture avoidable? Prophylactic guidelines and treatment-oriented classification.
Del Piñal F., García-Bernal FJ, Delgado J
PLASTIC & RECONSTRUCTIVE SURGERY 2004; 113:1855-60.

The indications for toe transfer after “minor” finger injuries.
Del Piñal F.
JOURNAL OF HAND SURGERY (Br and European) 2004; 29B: 120-129.

Minimizing impairment in laborers with finger losses distal to the proximal interphalangeal joint by second toe transfer.
Del Piñal F., Herrero F, García-Bernal FJ, Jado E, Ros MJ
PLASTIC & RECONSTRUCTIVE SURGERY 2003; 112:1000-11.

Imaging Findings in Ulnar-sided Wrist Impaction Syndromes.
Luis Cerezal, Francisco del Piñal, Faustino Abascal, Roberto García-Valtuille, Teresa Pereda, Ana Canga
EDUCATION EXHIBIT 2002; 22:105-121.

Acute hand compartment syndromes after closed crush: a reappraisal.
Del Piñal F., Herrero F, Jado E, García-Bernal FJ, Cerezal L
PLASTIC & RECONSTRUCTIVE SURGERY 2002; 110:1232-9.

Treatment of nonunion of the scaphoid by a limited combined approach.
F. del Piñal.
J Bone Joint Surg [Br] 2001;83-B:78-82..

Extensor digitorum brevis free flap: anatomic study and further clinical applications.
Del Piñal F., Herrero F
PLASTIC & RECONSTRUCTIVE SURGERY 2000; 105:1347-56.

A technique to preserve the shape of the calcaneus after massive osteomyelitis.
F. del Piñal, F. Herrero and A. Cruz.
British Journal of Plusric Surgery (1999), 52, 415-417.

The deep venous system and reverse flow flaps.
F. Del Piñal and G. I. Taylor.
British Journal of Plusric Surgery (1993), 46, 652-664.

The venous drainage of nerves; anatomical study and clinical implications.
F. Del Piñal and G. I. Taylor.
British Journal of Plusric Surgery (1990), 43, 511-520.

Optimización del colgajo de gracilis libre.
Del Piñal F., García Bernal F Delgado J, Gomez C, Arenas E.
Cir Plast Iberlatinamer 2004;30:77-86

MR imaging findings in ulnar-sided wrist impaction syndromes.
Cerezal L, Del Piñal F., Abascal F
Magn Reson Imaging Clin N Am 2004; 12:281-99, vi.
Abstract
Ulnar-sided wrist impaction syndromes are a common source of ulnar pain and limitation of motion. These conditions refer to a group of pathologic entities that result from repetitive or acute forced impaction between the distal ulna and ulnar carpus or distal radius and surrounding soft tissues. MR imaging allows earlier detection of the bone and soft-tissue lesions that are present in the different ulnar-sided wrist impaction syndromes and is helpful in formulating the extensive differential diagnosis in patients with ulnar wrist pain and limitation of motion.

One step…backwards.
Del Piñal F.
Br J Plast Surg 2004; 57:287; author reply 287-8.

Reconstrucción de mama tras radioterapia: experiencia con colgajos libres de perforante.
Del Piñal F., Herrero F., García Bernal F.J.y cols.
Rev. Cir. Plast. Iberolatinoam. 2003;29(2):103-11

“RECONSTRUCCION MAMARIA. Experiencia con colgajos perforantes”.
Del Piñal F., Herrero F., García Bernal F.J.y cols.
Cir. Esp. 2003;74(1):23-9.

Salvage and functional rehabilitation of a massively crushed hand with two sequential free flaps.
Del Piñal F., Herrero F, Jado E, Oteo JA, Garcia-Bernal F
J Trauma 2002; 53:980-3.

Acute thumb ischemia secondary to high-pressure injection injury: salvage by emergency decompression, radical debridement, and free hallux hemipulp transfer.
Del Piñal F., Herrero F, Jado E, Fuente M
J Trauma 2001; 50:571-4.

Complete avulsion of the distal posterior interosseous nerve during wrist arthroscopy: a possible cause of persistent pain after arthroscopy.
Del Piñal F., Herrero F, Cruz-Camara A, San Jose J
Final del formulario
J Hand Surg [Am] 1999; 24:240-2.
Abstract
A case of avulsion of the distal posterior interosseous nerve during wrist arthroscopy is presented. Surgeons unaware of this entity may attribute persistent middorsal wrist pain to the underlying disease rather than to iatrogenic damage to the distal posterior interosseous nerve.

Venous drainage of the reverse-flow flap.
Del Piñal F.
Plast Reconstr Surg 1998; 102:267-8.