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.
 
MICROVASCULAR LIMB SALVAGE


WHAT YOU SHOULD KNOW

Major trauma to the upper extremity may result in amputation or such extensive damage that amputation appears to be the only option. To save the body part whether it is one finger, the hand, or the whole arm requires complex microsurgery. First and foremost the body part must have blood supply coming in and going out. Nerves must connect to the organs for movement and feeling. The skin layer covering all the other tissues must be stable, durable, and healthy. The bone and joints that provide structure to the limb must be stable and mobile. The tendon systems that move the body part must connect and glide back and forth. If all of these goals cannot be met, it is usually not the right answer to preserve the body part.

MEDICAL HISTORY

As much information as possible about how the injury occurred will help the surgeon understand the pattern of damage to the various tissues. This is important for planning the reconstruction.

EXAMINATION

Each of the damaged tissues must be carefully examined for the extent of injury. Only when this information is known can the surgeon even determine if a reconstruction is possible or advisable. Although this examination begins in the emergency department, it can only be completed during surgery.

ADDITIONAL TESTS

Plain x-rays are used to reveal the pattern of bone and joint damage.

TREATMENT OPTIONS

  AMPUTATION MICROSURGICAL LIMB RECONSTRUCTION
CONSISTS OF Forming the best possible residual limb at the level of damage Rebuilding the damaged limb with tissues taken from elsewhere in the body
FEATURES Usually completed on the day of injury with one surgery only May involve a series of surgeries and prolonged stay in the hospital
ADVANTAGES Fastest recovery period for patient Preserves body part
DISADVANTAGES Lost body part Final function will not be normal, recovery may be prolonged

RECOVERY

After amputation surgery the patient is usually discharged quickly from the hospital into outpatient rehabilitation. When the wounds heal in several weeks, the limb is trained for use again. If the amputation was at a major level in the arm, prosthetic fitting begins when swelling is gone and the skin layers are stabilized.

If microsurgical reconstruction is performed, the patient usually remains in the hospital on intravenous anticoagulants for around a week. Outpatient rehabilitation exercises for motion are started the week after discharge and continue for many months thereafter. Often, follow-up surgeries for tendon transfers or contracture releases are required. The total time before the patient has graduated the reconstructive process will be measured in months rather than weeks.
 
 
 
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  • Great staff and speedy process! - 04/14/17
  • 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
  • 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
  • always outstanding service! - 04/12/17
  • Staff was very courteous and helpful. Dr. was very informative and easy to understand. - 03/27/17
  • Dr. Henry and Mary in PT helped me get my dominant arm back in working order. - 04/18/17
  • :) - 05/11/17
  • Thank you! - 03/08/17
  • Very professional - 03/30/17
  • Dr. Henry gave me my wrist back!!! Thank you Dr. Henry!!! - 07/10/17
  • great job! - 03/20/17
  • This was my last visit and I'll miss y'all. - 03/29/17
  • 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
  • Great work. - 02/03/17
  • 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
  • Great staff. - 05/02/17
  • 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
  • Fabulous I will be recommending to everyone I know that can benefit from the services provided. - 03/14/17
  • Great Appoitnment - 05/11/17
  • great service nice folks glad I came to this office doctor was very cool - 03/23/17
  • Love the Doctor and his staff. - 02/08/17
  • joel was also my assistant but everything was great - 03/07/17
  • 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
  • very helpful staff - 01/16/17
  • I have loved coming here and felt very welcomed by everyone! Thank you so much for all you do! - 03/10/17
  • 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
  • thank you for helping me - 02/03/17
  • 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
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • very good team work, best clinic - 06/21/17
  • thank you - 02/09/17
  • Luis was great as well. - 01/04/17
  • Great Appoitnment - 05/11/17
  • 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
  • I gained full confidence in Dr. Henry and his staff as I progressed through my recovery. - 03/28/17
  • excellent! dr & staff! - 06/14/17
  • Really appreciate the education and insight related to my wrist and future athletic training - 05/31/17
  • 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
  • Awesome experience. Luis rocks! - 04/06/17
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • very impressed with the whole experience. - 02/28/17
  • 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
  • :) - 06/01/17
  • Doctor Henry was awesome! And Luis was very helpful and nice! - 03/20/17
  • Very happy I came here for the surgery, etc. - 06/09/17
  • Everyone was kind and efficient. All things were clearly explained to me and I felt confident in doing my dressings. - 03/03/17
  • Dr. Henry did an excellent job on my grandmothers wrist. Staff is always very friendly and helpful. - 03/02/17
  • Dr Henry is a wonderful Dr. and I would highly recommend to others - 02/07/17
  • all excellent care - 07/12/17
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • All the staff and Doctor Henry were great! - 05/01/17
  • thank you, you all were very helpful - 03/03/17
  • 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
  • The staffs here was GREAT!!!! - 06/21/17
  • 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
  • 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










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