‘Plastic and Reconstructive Surgery’ premia un articolo del dottor Piñal come il migliore del 2019 in chirurgia plastica e ricostruttiva della mano

1 ottobre, 2020

PRS Awards_01b_20201110

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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

PRS Award_01_20201110

PRS Award_02_20201110Dr Piñal’s article ‘Extreme Thumb Losses: Reconstructive Strategies’ has been selected as the best of 2019 in the hand category, among those published by the journal ‘Plastic and Reconstructive Surgery‘ (PRS, ‘Cirugía Plástica y Reconstructiva’), official publication of the American Society of Plastic Surgeons.

The editorial staff of PRS scoured data for all manuscripts published in 2019 to determine the number of times each article was read on Ovid and on This data, of 16 months, was combined to create an average score for each manuscript, placing them on equal footing, independent of publication month. The articles were sorted by score, and selected based on pre-existing categories.

Historically, complex amputations of the thumb have been managed in two stages and often require additional soft-tissue and tendon transfer for successful outcomes. Dr Piñal’s awarded article provides several novel strategies to address these problems in a single stage using existing muscles, free tissue transfer, and toe to hand transplantation.

The Spanish surgeon has performed around 500 toe to hand transfers, constituting a world reference in this type of microsurgical procedure. Born in 1960 in Santander, Dr Francisco del Piñal is considered one of the world’s best hand surgeons.

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In the image above, one of the case studies of the awarded article. The patient’s (23 years old) hand was trapped in a rolling hot press device. At the end of the composition, we see him holding a bottle filled with sand, weighing 3.5 kg, with the affected hand, one year after the microsurgical procedure.

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