The patient, a 25-year-old male, suffered a crushing injury to his right hand with severe damage that led to the recommendation of amputation. This clinical case required the design of a microsurgical procedure by Dr. Francisco Piñal.

Clinical Case

The Problem

The preoperative scenario clearly shows the disabling consequences of the crushing injury. The bone involvement and the extent of damage to the hand, wrist, and fingers, with signs of ischemia, directly resulted in amputation.

Objectives

The clinical goals in this case involve the reconstruction of the damaged area, including muscles, tendons, and bones. The primary focus is on revascularization, achieved through a venous interposition graft.

The Plan

Dr. Francisco Piñal and his team proceed with microsurgery to restore blood flow and cover the defect with a muscle transplant from the patient, facilitating the recovery of blood circulation and acting as coverage.

Results

The success of the procedure designed by Dr. Francisco Piñal is evident in the functional recovery and the limitation of aesthetic impact, both in the hand and wrist. After completing the surgical process, the patient is capable of performing tasks similar to those before the crushing injury.

Piñal and Associates Clinic is one of the medical centers worldwide with extensive experience and a high success rate in the reconstruction of such mutilations through microsurgery (99% effectiveness). Dr. Piñal performs over 150 microsurgery interventions each year, including transplants and reattachments.