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The catastrophic hand (I). The patient experience: hopes, plans and microsurgery
Google translation:
The absence of armed conflicts and better labour security conditions have reduced the incidence oftraumatic hand injuries in Western countries.
Clinical case: hand reconstruction after amputation to the wrist
Antonio Fernández, Santander, 44, suffered the crushing amputation to the wrist of his left hand by an 80-ton press. Through the transferring of three toes -using a world pioneering technique- a functional structure was rebuilt on the scaphoids and radius from the stump.
Clinical case: Left hand thumb amputation in work accident
Pedro M ª Martínez, Vitoria, 58, Mechanical fitter; suffered the amputation of his left hand thumb in a work accident while handling a press.
Témoignage: “Je pourrai conduire, utiliser des couverts… Le Dr Piñal m’a redonné une seconde vie“
Antonio Fernández, Santander, 44 ans, amputation de la main gauche broyée à hauteur du poignet, accident de travail: “Je pourrai de nouveau conduire, utiliser des couverts… le Dr Piñal m’a redonné une seconde vie”.
El Dr. Del Piñal ‘crea’ una nueva mano para un paciente amputado hasta la muñeca
El cirujano cántabro ha reconstruido la extremidad empleando una técnica pionera en el mundo, a partir de la transferencia de tres dedos del pie a la mano ‘recreada’
Del Piñal ha realizado una reconstrucción no anatómica con el objetivo de ‘generar’ un mano izquierda funcional donde apenas quedaba un muñón,
Clinical case: functional mutilated hand through toe to hand transfer
Functional recovery of the mutilated hand (pinch gripping function) by toe-to-hand transfer. The lower extremity (foot) remains perfectly operational despite acting as a donor zone.
Clinical cases: toe to hand transfer in 20-month-old patient
The patient, a 20-month-old toddler, Vizcaya, suffered crushing amputation of the right thumb. A ‘great toe’ is transferred to the hand, while the index toe of the donor foot is surgically slightly shifted to prevent loss of stability.
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