The prestigious doctors Piñal and Tonkin delivered online lectures on Microsurgery, focusing on advances in congenital hand treatment, thumb anomalies, and catastrophic hand issues.

The Canadian Society for Hand Surgery organized a “Scientific Day” on microsurgery at the University of Montreal (Canada), and Professors Piñal and Tonkin were invited to present online lectures on advances in the treatment of congenital hand issues, thumb anomalies, and catastrophic hand conditions.

Professor Dominique Tremblay, the director of the specialized Plastic Surgery program in hand, wrist, and peripheral nerve surgery at the University of Montreal, invited the doctors to participate in this event.

Dr. Piñal’s participation included a lecture on advances in the treatment of congenital hand issues, thumb anomalies, and catastrophic hand conditions. The program was developed in collaboration with the Association of Plastic and Aesthetic Surgery Specialists of Quebec, along with the Plastic Surgery Program at the University of Montreal.

These lectures aimed to identify indications for thumb reconstruction, recognize indications for thumb reconstruction in children, understand the risks, benefits, and complications of thumb reconstruction surgeries, recognize the challenges of a patient who has suffered thumb trauma, develop skills to solve complex cases, and integrate the knowledge and research of members and residents into the development of scientific presentations, among other objectives.

Dr. Piñal is a world leader in the management of catastrophic hand injuries and their consequences. He is the author of several articles on management considered classics and essential reading:

1: Sabapathy SR, Del Piñal F, Boyer MI, Lee DC, Sebastin SJ, Venkatramani H.

Management of a mutilated hand: the current trends. J Hand Surg Eur Vol. 2022

Jan;47(1):98-104. doi: 10.1177/17531934211047760. Epub 2021 Oct 9. PMID:

34632847.

2: Del Piñal F. An Update on the Management of Severe Crush Injury to the

Forearm and Hand. Clin Plast Surg. 2020 Oct;47(4):461-489. doi:

10.1016/j.cps.2020.06.003. PMID: 32892795.

3: Del Piñal F. Extreme Thumb Losses: Reconstructive Strategies. Plast Reconstr

Surg. 2019 Sep;144(3):665-677. doi: 10.1097/PRS.0000000000005983. PMID:

31461023.

4: Del Piñal F, Urrutia E, Klich M. Severe Crush Injury to the Forearm and Hand:

The Role of Microsurgery. Clin Plast Surg. 2017 Apr;44(2):233-255. doi:

10.1016/j.cps.2016.11.002. Epub 2017 Feb 1. PMID: 28340660.

5: del Piñal F, Moraleda E, de Piero GH, Ruas JS. Outcomes of free adipofascial

flaps combined with tenolysis in scarred beds. J Hand Surg Am. 2014

Feb;39(2):269-79. doi: 10.1016/j.jhsa.2013.11.030. PMID: 24480687.

6: del Piñal F, García-Bernal FJ, Cagigal L, Studer A, Ayala H, Regalado J. Late

salvage of the ischemic finger after crush injury using flow-through flaps: case

report. J Hand Surg Am. 2009 Mar;34(3):453-7. doi: 10.1016/j.jhsa.2008.11.020.

PMID: 19258142.

7: del Piñal F, Innocenti M. Evolving concepts in the management of the bone gap

in the upper limb. Long and small defects. J Plast Reconstr Aesthet Surg.

2007;60(7):776-92. doi: 10.1016/j.bjps.2007.03.006. Epub 2007 Apr 23. PMID:

17452133.

8: del Piñal F. Severe mutilating injuries to the hand: guidelines for

organizing the chaos. J Plast Reconstr Aesthet Surg. 2007;60(7):816-27. doi:

10.1016/j.bjps.2007.02.019. Epub 2007 Apr 20. PMID: 17449339.

9: Del Piñal F, García-Bernal FJ, Regalado J, Ayala H, Cagigal L, Studer A.

Vascularised corticoperiosteal grafts from the medial femoral condyle for

difficult non-unions of the upper limb. J Hand Surg Eur Vol. 2007

Apr;32(2):135-42. doi: 10.1016/J.JHSB.2006.10.015. Epub 2007 Jan 19. PMID:

17240497.

10: Del Piñal F, Pisani D, García-Bernal FJ, Regalado J, Del Pino FJ, Ayala H.

Massive hand crush: the role of a free muscle flap to obliterate the dead space

and to clear deep infection. J Hand Surg Br. 2006 Dec;31(6):588-92. doi:

10.1016/j.jhsb.2006.07.009. Epub 2006 Sep 6. PMID: 16950549.

11: Del Piñal F, García-Bernal FJ, Delgado J. Is posttraumatic first web

contracture avoidable? Prophylactic guidelines and treatment-oriented

classification. Plast Reconstr Surg. 2004 May;113(6):1855-60. doi:

10.1097/01.prs.0000117667.24286.54. PMID: 15114159.

12: Del Piñal F, Herrero F, Jado E, García-Bernal FJ, Cerezal L. Acute hand

compartment syndromes after closed crush: a reappraisal. Plast Reconstr Surg.

2002 Oct;110(5):1232-9. doi: 10.1097/01.PRS.0000025183.78057.9B. PMID: 12360060.

13: del Piñal F, Herrero F, Jado E, Oteo JA, Garcia-Bernal F. Salvage and

functional rehabilitation of a massively crushed hand with two sequential free

flaps. J Trauma. 2002 Nov;53(5):980-3. doi: 10.1097/00005373-200211000-00027.

PMID: 12435953.

14: del Piñal F, Herrero F, Jado E, Fuente M. Acute thumb ischemia secondary to

high-pressure injection injury: salvage by emergency decompression, radical

debridement, and free hallux hemipulp transfer. J Trauma. 2001 Mar;50(3):571-4.

doi: 10.1097/00005373-200103000-00029. PMID: 11265044