Hand & Wrist Center of Houston Home If you suspect broken bones, dislocated joints, lacerated tendons, lacerated nerves, infection, or have an open wound below the elbow, then call us immediately.
 
FUNCTIONAL MUSCLE TRANSFER


WHAT YOU SHOULD KNOW

After severe nerve or limb damage many functions may be lost. In more serious cases, the number of reconstructive options may be limited. More conventional strategies such as direct nerve repair, nerve grafting, nerve transfers, or tendon transfers may not be possible. When the muscles that move the fingers have been completely destroyed but a source of nerve supply in the region of the elbow exists, the whole muscle unit can be replaced by a transfer of a muscle from the thigh, completely separated from the body and reinserted in the forearm. Special microsurgical connections between small blood vessels and nerves are necessary to make the transferred muscle unit function properly.

MEDICAL HISTORY

All the details of the original injury and subsequent treatments must be reviewed. The patient should bring the typewritten reports of any previous surgeries that have been performed.

EXAMINATION

Joint range of motion, preserved or repaired tendon functions, and the elasticity and stability of wounds on the limb will be carefully noted. Evidence of specific nerve functions is critical to planning the reconstruction.

ADDITIONAL TESTS

Electrical nerve tests may need to be done to prove the existence of a nerve that can supply the transferred muscle once it is moved into the forearm.

TREATMENT OPTIONS

  TENDON TRANSFER FREE FUNCTIONING MUSCLE TRANSFER
CONSISTS OF Moving a working tendon from its original assignment to one needed to make up for one of the lost movement functions Transferring a muscle from the thigh into the forearm or arm to become the replacement for a damaged muscle
FEATURES Only tendons that can afford to give up their original function are used Nerve at the receiving site is connected to the transferred muscle to make it work
ADVANTAGES Simpler solution Used when there are no nearby tendons available for tendon transfer
DISADVANTAGES Substitution with a tendon transfer can never really recreate the original lost function and the brain must learn to use the new connection Complicated solution,


  • Outstanding service and results - 10/30/17
  • Great doctor and good staff - 10/10/18
  • no complaints hand is coming along very well - 11/06/17
  • Dr.henry knew his stuff. he was friendly but straight to the point. - 09/11/18
  • Dr. Henry gave me my wrist back!!! Thank you Dr. Henry!!! - 07/10/17
  • love the circus de sole dvd. everything was amazing. rehab was the best too. - 02/23/18
  • Great Doctor and staff. Luis is a wonderful asset to the staff - 12/18/17
  • the whole group was very good, I had an excellent experience. - 11/09/17
  • Awesome facility. Fast results. Thoroughly explained causes of pain, diagnosis and treatment. Staff wonderful. Facility is amazing - 10/10/18
  • great doctor - 05/23/18
  • The doctor and staff are the best I have ever had. Very professionalism at its best. - 11/15/17
  • Fantastic. Very helpful and considerate staff and manner. Very much appreciated. Fully recommend in for the future. Thanks, Andrew - 09/19/18
  • everyone was very helpful. - 10/02/18
  • Dr. Henry and his staff are phenomenal. Dr. Henry has a gift for not only treating health issues extremely effectively, but he is extremely thorough and very efficient at communication and explaining everything he is doing and all of clearly outlining your options for future procedures. - 05/11/18
  • all excellent care - 07/12/17
  • Very nice staff and surgeon. Thumb looks good now after surgery, hopefully thumb continues to heal and stays healed. Thank you - 01/30/18
  • outstanding knowledge and gets you into the hospital if needed the same. - 02/09/18
  • Dr. Mark Henry is a true healer; the finest most competent doctor I've ever encountered. I am forever grateful to Dr. Henry and the entire staff for saving my finger and facilitating my complete recovery with grace and seriousness of intent. Thank you. - 01/10/18
  • I appreciate the expertise and experience of Dr. Henry!!! I know I had the BEST hand surgeon!!! - 05/02/18
  • Great experience on every visit. Doctor Henry's work is fantastic and his explanations are thorough. I recommend him highly whenever the opportunity presents. - 09/26/18
  • very good team work, best clinic - 06/21/17
  • MD was very thorough and spent a good amount of time with the patient (me). MD had good bedside manners which you do not see from a lot of doctors nowadays. He also made sure everything was understood and that I was given a chance to ask questions or address any concerns I had. Everyone was courteous and professional. Thank you for making mu visit a pleasant one. - 05/02/18
  • dr henry does an excellent job of explaining the problem and solution, seems extremely competent - 02/07/18
  • very confortable,Dr. Henrry very professional and very friendly staff - 12/05/17
  • every thing was really great - 10/19/17
  • David, Luis and the staff were so helpful and answered all my questions. Highly recommend the facility for any hand surgeries. - 09/27/18
  • I couldn't be more pleased with the level of service I received while in Dr. Henry's care. The level of detail in which my injury was explained and resolved, and the level of competency that was displayed throughout the healing was truly outstanding. - 01/30/18
  • every body was excelent - 01/09/18
  • Great service and attention to patient needs. Staff was very attentive. - 09/17/18
  • very helpful. staff was very helpful and outstanding. Dr. Henry explained everything to me - 06/19/18
  • I am really happy with my experience. I always knew what was going on and over time got to know the staff based on how many times I've been here. Most importantly, I feel I got the right treatment for my injury. - 10/19/17
  • Dr. Henry was able to salvage my hand to make it usable again. I have already sent my Father here and he no longer has any pain in his wrist. - 11/13/17
  • The staffs here was GREAT!!!! - 06/21/17
  • I was so impressed that Dr. Henry took so much time with me, explaining the whole process of my injury, what should have happened, and what we can do going forward. Thank you! - 09/28/18
  • Very happy I came here for the surgery, etc. - 06/09/17
  • With the severity of my injury I am amazed at how functional my wrist is with the amazing team work shown at the office. From the very start the service and care have been outstanding!! I can't thank everyone enough! - 02/23/18
  • excellent! dr & staff! - 06/14/17
  • Very efficient practice - 10/19/17
  • Dr. Henry was very informative about the treatment and staff was pleasant. - 01/11/18
  • thank you - 10/16/17
  • Dr. Henry is a tremendous doctor! - 05/22/18
  • Thank you for sewing me back together and guiding me through my recovery!!! - 05/15/18
  • I appreciated everyone being friendly and professional and quick and competent at what they do. Dr Henry is straightforward and clear with no extra b/s and I was quite pleased with that. - 09/20/18
  • best place for treatment of hand and wrist problems. Dr. Henry was recommended to me by a friend who is a medical care professional. - 10/06/17
  • Visit was pleasant and went smoothly. No complaints. Outstanding service. - 09/14/18
  • you were very good, thank you very much - 05/17/18
  • Dr. Henry and his staff are amazing! I was able to get an urgent new patient appointment immediately with surgery that same afternoon. Dr. Henry does an excellent and thorough job explaining my injury and the healing process. Very impressed with his plan of early mobility and physical therapy, which helped restore my function back to normal within 8 weeks of surgery. I would 100% recommend Dr. Henry and his staff! Very pleased and grateful for his help. - 03/23/18
  • The staff and the Dr. are very helpful and understanding .I have not yet seen a better staff like this office . I will recommend any one here . - 11/06/17
  • Great job your staff is the best,thank you &GOD Bless all of you! - 06/15/18
  • I was very impressed with how I was treated by the doctor as well as the Medical assistant. All my questioned were answered and I was treated with care and respect. Luis was Awesome! Doctor Henry was very informative. I will recommend him to friends and family - 06/09/17
  • The visit was good - 09/27/18
  • Awesome staff. - 09/25/18
  • Thank you for repairing my injury and being kind in the process. - 01/10/18
  • an experience beyond expectation - 10/06/17
  • :) - 06/01/17
  • The staff is nice and everyone is up on the treatment. I feel confident that I am getting the best care and am glad I came here. - 10/30/17










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