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,


  • 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
  • Thank you! - 03/08/17
  • :) - 06/01/17
  • very confortable,Dr. Henrry very professional and very friendly staff - 12/05/17
  • 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
  • The staffs here was GREAT!!!! - 06/21/17
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • Everyone was kind and efficient. All things were clearly explained to me and I felt confident in doing my dressings. - 03/03/17
  • Very happy I came here for the surgery, etc. - 06/09/17
  • the whole group was very good, I had an excellent experience. - 11/09/17
  • Great staff and speedy process! - 04/14/17
  • Outstanding service and results - 10/30/17
  • Doctor Henry was awesome! And Luis was very helpful and nice! - 03/20/17
  • 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
  • I feel very confident in Dr Henry and the direction I am headed. - 03/10/17
  • great service nice folks glad I came to this office doctor was very cool - 03/23/17
  • all excellent care - 07/12/17
  • Dr Henry is a wonderful Dr. and I would highly recommend to others - 02/07/17
  • Luis was great as well. - 01/04/17
  • I have loved coming here and felt very welcomed by everyone! Thank you so much for all you do! - 03/10/17
  • 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
  • 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 work. - 02/03/17
  • Love the Doctor and his staff. - 02/08/17
  • excellent! dr & staff! - 06/14/17
  • This was my last visit and I'll miss y'all. - 03/29/17
  • no complaints hand is coming along very well - 11/06/17
  • an experience beyond expectation - 10/06/17
  • 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
  • Very professional - 03/30/17
  • Really appreciate the education and insight related to my wrist and future athletic training - 05/31/17
  • :) - 05/11/17
  • I gained full confidence in Dr. Henry and his staff as I progressed through my recovery. - 03/28/17
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • 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
  • 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
  • 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
  • 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
  • Dr. Henry did an excellent job on my grandmothers wrist. Staff is always very friendly and helpful. - 03/02/17
  • very good team work, best clinic - 06/21/17
  • Dr. Henry gave me my wrist back!!! Thank you Dr. Henry!!! - 07/10/17
  • thank you for helping me - 02/03/17
  • All the staff and Doctor Henry were great! - 05/01/17
  • 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
  • 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
  • thank you - 10/16/17
  • Staff was very courteous and helpful. Dr. was very informative and easy to understand. - 03/27/17
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • Dr. Henry and Mary in PT helped me get my dominant arm back in working order. - 04/18/17
  • thank you - 02/09/17
  • 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
  • Fabulous I will be recommending to everyone I know that can benefit from the services provided. - 03/14/17
  • Great staff. - 05/02/17
  • Very efficient practice - 10/19/17
  • 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
  • every thing was really great - 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
  • FIRST CLASS!!!!!!!!!! - 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
  • thank you, you all were very helpful - 03/03/17
  • great job! - 03/20/17
  • joel was also my assistant but everything was great - 03/07/17
  • The doctor and staff are the best I have ever had. Very professionalism at its best. - 11/15/17
  • 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
  • Great Appoitnment - 05/11/17
  • Awesome experience. Luis rocks! - 04/06/17
  • 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
  • very impressed with the whole experience. - 02/28/17
  • always outstanding service! - 04/12/17
  • very helpful staff - 01/16/17
  • 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










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