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,


  • Really appreciate the education and insight related to my wrist and future athletic training - 05/31/17
  • only wish I would have come here before having surgery done elsewhere. - 11/30/16
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • Luis was very kind and helpful with all of my questions and concerns. He also assisted me with obtaining supplies for my brace and hand until I can get to therapy. - 10/21/16
  • Love the Doctor and his staff. - 02/08/17
  • I have enjoyed this facility and Dr. Henry has been more than helplful. All questions answered, as well as answers I didn't even know I had! The staff is always helpful. - 03/03/17
  • Great work. - 02/03/17
  • great job! - 03/20/17
  • I will definitely recommend your practice to my friends and family. Thank you very much for seeing me and for the very detailed explanation! - 10/14/16
  • I enjoyed my visit - 11/14/16
  • Very happy I came here for the surgery, etc. - 06/09/17
  • Had a wonderful experience overall. Breaking my arm was tough but the staff here was always very, kind and helpful. Especially Dr. Henry, Mary, Karen, Luis, Joel, Teresa and David. I'll miss them all but hopeful won't have to see them any time soon :)Thank you! - 05/04/17
  • some of the most friendly staff and the doctor always explained the information in a manner in which I could understand which always made it very helpful. will definitely recommend this location to family and friends. - 05/31/17
  • thank you - 02/09/17
  • thank you for all you have done! I recommend you foranyone that is having any problems via hand wrist. Amazing surgon and doctor!!! - 02/01/17
  • always outstanding service! - 04/12/17
  • excellent! dr & staff! - 06/14/17
  • I have never doubted I was in the best possible hands here. I cannot correctly express my gratitude. Thank you all very, very much for everything you've done for me. - 11/09/16
  • Great detailed information. - 11/03/16
  • great service nice folks glad I came to this office doctor was very cool - 03/23/17
  • Great friendly staff - 10/28/16
  • very good team work, best clinic - 06/21/17
  • Fabulous I will be recommending to everyone I know that can benefit from the services provided. - 03/14/17
  • Great staff. - 05/02/17
  • Staff exceptional and Dr. Henry is as well. - 11/15/16
  • Awesome experience. Luis rocks! - 04/06/17
  • Amazing people. Luis, Joel and Teresa, and Dr. Henry... I appreciate all of you. Your staff is outstanding. - 09/14/16
  • Everyone was kind and efficient. All things were clearly explained to me and I felt confident in doing my dressings. - 03/03/17
  • Thank you for the hard work and excellent care. If ever I need this type of care again I will be knocking on your door. I've already recommended your services to others. Thanks Again! - 03/07/17
  • Always a pleasure working with Dr. Henry and his awesome staff! - 10/07/16
  • Dr Henry is a wonderful Dr. and I would highly recommend to others - 02/07/17
  • I was very pleased with the entire process from first visit to last visit - 09/08/16
  • Staff was very courteous and helpful. Dr. was very informative and easy to understand. - 03/27/17
  • Great staff, Great Doctor, Great surgery, recovery, and follow up. Thank you for the time and attention with helping me through the entire process. I felt very comfortable and safe with the entire process. - 02/10/17
  • This was my last visit and I'll miss y'all. - 03/29/17
  • I have enjoyed this facility and Dr. Henry has been more than helplful. All questions answered, as well as answers I didn't even know I had! The staff is always helpful. - 03/03/17
  • Great center with friendly staff and very competent physician. I would definitely recommend to others. - 10/20/16
  • Everyone here has been awesome. We appreciate everything you all have done. thank you! - 12/05/16
  • Excellent care and service! I would highly recommend Dr Henry and his staff! - 09/14/16
  • Very pleased with the staff and Dr. Henry. Would highly recommend Dr. Henry to my family and friends in the future. Love this place!!! - 09/07/16
  • Thank you! - 03/08/17
  • Excellent treatment by the physician and friendly service by the staff. Will definitely recommend to friends and family. - 09/12/16
  • Wonderful work no issues - 11/17/16
  • Staff is always friendly and helpful. I will definitely recommend this office. Dr. Henry is a very skilled surgeon and went out of his way to make sure I understood my procedure and the rehabilitation process. - 03/24/17
  • Very pleased with everyone and the procedures I have had done with Dr. Henry and his staff. - 12/28/16
  • The entire team at the Hand and Wrist Center is outstanding. They made the recovery so smooth and comforting from the courteous receptionists, excellent occupational therapist, attentive medical assistants, and brilliant doctor. Thank you! - 03/31/17
  • Everyone was great and very helpful. Our family really appreciates the medical attention my son received from his injury. Thank you so much. - 11/01/16
  • The doctor was very informative and provided me with a solution quickly and I really appreciate that in this day and age. This is an awesome institution. - 03/02/17
  • I feel very confident in Dr Henry and the direction I am headed. - 03/10/17
  • We have had the best experience here. The staff has always accommodated us and since Tyler is only 10, they always go out of their way to make sure we are comfortable. I have and will continue to recommend Dr. Henry and his staff to anyone I know. Thanks! - 02/28/17
  • Very professional - 03/30/17
  • The Doc is awesome and his staff is on their game, the wait can be a little long but you get that when you are dealing with elite care. - 09/19/16
  • very good at explaining how I should take care of my thumbs and always answered any question I had regarding my health issue I was very pleased with my visit and the care I got at both visits - 03/07/17
  • David, Teresa, Luis, Joel, and Karen have all worked with me. They were all outstanding and I highly recommend them all. - 11/30/16
  • joel was also my assistant but everything was great - 03/07/17
  • Great Appoitnment - 05/11/17
  • Luis and all the staff have been great each time I've come in. - 09/22/16
  • The staffs here was GREAT!!!! - 06/21/17
  • very impressed with the whole experience. - 02/28/17
  • great - 10/06/16
  • I was impressed at how fast I was able to get an appointment. The staff was very helpful and the doctor was amazing! - 12/08/16
  • Doctor Henry was awesome! And Luis was very helpful and nice! - 03/20/17
  • Luis was great as well. - 01/04/17
  • Thank you for the help. - 11/10/16
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • Thank you so much for all your support and help! I have benefited a lot from this facility! - 10/13/16
  • I am feeling so much better! My hands do not fall asleep and I do not drop things anymore. Yah! Thank you so much! - 09/16/16
  • Everyone is always nice - 12/14/16
  • I gained full confidence in Dr. Henry and his staff as I progressed through my recovery. - 03/28/17
  • Dr. Henry and each and every one of the staff we met exhibited a spirit of excellence in every area. From the first visit we were comfortable and confident that we would be well taken care of. - 09/28/16
  • thank you, you all were very helpful - 03/03/17
  • :) - 05/11/17
  • Amazing services and results. Unique experience - 10/31/16
  • Awesome staff.. - 09/26/16
  • Dr. Henry did an excellent job on my grandmothers wrist. Staff is always very friendly and helpful. - 03/02/17
  • Mark is great and so is Luis (I would give Luis a raise!!) - 09/27/16
  • Great Appoitnment - 05/11/17
  • Dr. Henry and Mary in PT helped me get my dominant arm back in working order. - 04/18/17
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • Amazing Doctor and staff. - 11/16/16
  • :) - 06/01/17
  • very helpful staff - 01/16/17
  • Dr. Henry has the best verbal skills I have witness on a physician; and, I have been a physician myself for decades! - 12/01/16
  • 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
  • Great staff and speedy process! - 04/14/17
  • thank you for helping me - 02/03/17
  • At every interaction with your office: consultation with Dr. Henry, day of surgery, need for prescription refills, all follow-up visits, I felt comfortable, welcome, and well informed. On the day of my last visit, I am very optimistic about the function of my left hand. Thank you. - 09/07/16
  • ;) - 09/08/16
  • The staff was great. David was very helpful with my surgery scheduling and questions. Luis was fabulous when I needed help with changing my dressing. Joel was nice helping me with the undoing of the dressing. Great group to be a patient of. - 12/13/16
  • Thank you to everyone here with my surgery and healing process! I really felt comfortable with everyone on the staff and feel as though I came to the best place possible for my surgery. THANK YOU!!!! - 09/09/16
  • Very knowledgeable about the possible procedures the could be preformed! Dr. Henry is a very honest person and I appreciate that in a man more than anything. He gave me truth and not what I wanted to hear! Thanks - 04/04/17
  • Very pleased with the staff and Dr Henry during my treatment. - 12/15/16
  • All the staff and Doctor Henry were great! - 05/01/17
  • Awesome as always! - 10/11/16
  • I have loved coming here and felt very welcomed by everyone! Thank you so much for all you do! - 03/10/17
  • This was only a consult, but I felt that I was leaving with enough information and a plan on the next step needing to be taken. - 09/26/16
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17










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