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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  • only wish I would have come here before having surgery done elsewhere. - 11/30/16
  • 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 is a wonderful Dr. and I would highly recommend to others - 02/07/17
  • 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
  • Very professional - 03/30/17
  • Thank you! - 03/08/17
  • great service nice folks glad I came to this office doctor was very cool - 03/23/17
  • I enjoyed my visit - 11/14/16
  • 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
  • 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
  • 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
  • Excellent treatment by the physician and friendly service by the staff. Will definitely recommend to friends and family. - 09/12/16
  • Always a pleasure working with Dr. Henry and his awesome staff! - 10/07/16
  • 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
  • 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
  • Great friendly staff - 10/28/16
  • Awesome experience. Luis rocks! - 04/06/17
  • 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
  • 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 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
  • Mark is great and so is Luis (I would give Luis a raise!!) - 09/27/16
  • Doctor Henry was awesome! And Luis was very helpful and nice! - 03/20/17
  • always outstanding service! - 04/12/17
  • Great detailed information. - 11/03/16
  • I gained full confidence in Dr. Henry and his staff as I progressed through my recovery. - 03/28/17
  • great - 10/06/16
  • Great work. - 02/03/17
  • 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
  • Luis was great as well. - 01/04/17
  • very impressed with the whole experience. - 02/28/17
  • I was very pleased with the entire process from first visit to last visit - 09/08/16
  • 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 for helping me - 02/03/17
  • Thank you so much for all your support and help! I have benefited a lot from this facility! - 10/13/16
  • 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
  • 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
  • Very pleased with everyone and the procedures I have had done with Dr. Henry and his staff. - 12/28/16
  • This was my last visit and I'll miss y'all. - 03/29/17
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • Dr. Henry and Mary in PT helped me get my dominant arm back in working order. - 04/18/17
  • I feel very confident in Dr Henry and the direction I am headed. - 03/10/17
  • 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
  • great job! - 03/20/17
  • ;) - 09/08/16
  • Awesome as always! - 10/11/16
  • Staff was very courteous and helpful. Dr. was very informative and easy to understand. - 03/27/17
  • 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
  • Staff exceptional and Dr. Henry is as well. - 11/15/16
  • Dr. Henry did an excellent job on my grandmothers wrist. Staff is always very friendly and helpful. - 03/02/17
  • Amazing services and results. Unique experience - 10/31/16
  • 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 is always nice - 12/14/16
  • Very pleased with the staff and Dr Henry during my treatment. - 12/15/16
  • 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
  • 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
  • Wonderful work no issues - 11/17/16
  • 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
  • thank you, you all were very helpful - 03/03/17
  • Love the Doctor and his staff. - 02/08/17
  • 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
  • Fabulous I will be recommending to everyone I know that can benefit from the services provided. - 03/14/17
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • 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
  • 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
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • 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
  • Great staff and speedy process! - 04/14/17
  • 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 - 02/09/17
  • Amazing people. Luis, Joel and Teresa, and Dr. Henry... I appreciate all of you. Your staff is outstanding. - 09/14/16
  • Thank you for the help. - 11/10/16
  • Amazing Doctor and staff. - 11/16/16
  • 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
  • Excellent care and service! I would highly recommend Dr Henry and his staff! - 09/14/16
  • 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
  • Awesome staff.. - 09/26/16
  • Everyone here has been awesome. We appreciate everything you all have done. thank you! - 12/05/16
  • Great center with friendly staff and very competent physician. I would definitely recommend to others. - 10/20/16
  • Luis and all the staff have been great each time I've come in. - 09/22/16
  • 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










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