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Severe crush injury_article_01_20201218

Dr. Piñal sets the guidelines for the clinical management of severe crush injuries to the forearm and hand, not only in the acute phase but also in the sequels

In his latest article for Clinics in Plastic Surgery, the Spanish surgeon analyzes the impact of microsurgery in improving the prognosis of the most serious cases (catastrophic hand syndrome),

IMG-60503 copia

Elimination by microsurgery of pain in case of reflex sympathetic dystrophy in the lower limb

16-year-old girl with intense pain in her right foot. After two previous unsuccessful interventions, she was diagnosed with complex regional pain syndrome (CRPS) or reflex sympathetic dystrophy.

Colgajo de periostio vascularizado en pseudoartrosis de humero_01_20201124

Periosteal flap microsurgical transfer in case of humerus nonunion

The 20-year-old patient suffered an unconsolidated right humerus fracture with radial nerve injury one year before coming into contact with Dr. Piñal. Despite the modifications in the synthesis in two previous surgeries,

PRS Awards_01b_20201110

‘Plastic and Reconstructive Surgery’ awards an article by Dr Piñal as the best of 2019 in plastic and reconstructive surgery of the hand

The PRS Best Papers Awards 2020 distinguish the best articles published in the official journal of the American Society of Plastic Surgeons in different categories

Colgajo neurocutáneo en caso de Dupuytren_01_20200629

Vascularized neurocutaneous flap in case of Dupuytren

Vascularized neurocutaneous free flaps in Dupuytren cases may be the best option when the affected hand bed is poor, the defect is long or there is a loss of concomitant tissue,

Estadio avanzado de enfermedad de Dupuytren_01_20200618

From amputation to mobility: neurocutaneous flap transfer in Dupuytren’s contracture

The patient, a 70-year-old man, presents a picture of Dupuytren’s disease in the ring and little fingers of his left hand, which are contractured in flexion (Dupuytren’s contracture) causing a serious functional limitation.

Pilar_curación Sudeck_20200513_02

Testimonial: “It felt like a wooden hand and full of pain”

Pilar (Madrid), 70, comes to Piñal y Asociados clinic in Madrid with a diagnosis of reflex sympathetic dystrophy or Sudeck’s atrophy, after an operation on a trapeziometacarpal osteoarthritis: “It felt like a wooden hand and full of pain”.