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With success rates above 95% in his interventions, Dr. Piñal is considered one of the world’s upper limb best surgeons. A trajectory built, among other medical fields, on the definition of a landmark theoretical-practical framework in the clinical approach of cases of catastrophic hand, drawn from the development and application of techniques in microsurgery that offer hopeful horizons of recovery to the patient.

In this new post, the fourth chapter of the series on catastrophic hand (2nd video-based), Dr. Piñal presents several of the cited techniques – such as the combination of vascularized fat transplantation and tenolysis, toe-to-hand transfer or autologous grafts, mixed with other non-microsurgical ones such as arthroscopy – along with different success stories in clinical pictures of amputation, crush trauma, etc.

• The catastrophic hand (I). The patient experience: hopes, plans and microsurgery.
• The catastrophic hand (II). The physician perspective: ‘save what can be saved’, calm and collaboration.
• The catastrophic hand (III): Possibilities of microsurgery for patients with serious injuries.