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.
 
 
 
Back to Medical Conditions
 
 


  • Thank you so much for all your support and help! I have benefited a lot from this facility! - 10/13/16
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • Very pleased with everyone and the procedures I have had done with Dr. Henry and his staff. - 12/28/16
  • 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
  • Great friendly staff - 10/28/16
  • The staffs here was GREAT!!!! - 06/21/17
  • very good team work, best clinic - 06/21/17
  • joel was also my assistant but everything was great - 03/07/17
  • 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
  • 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
  • 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! dr & staff! - 06/14/17
  • Very happy I came here for the surgery, etc. - 06/09/17
  • great service nice folks glad I came to this office doctor was very cool - 03/23/17
  • Awesome staff.. - 09/26/16
  • Amazing Doctor and staff. - 11/16/16
  • Luis was great as well. - 01/04/17
  • Dr. Henry did an excellent job on my grandmothers wrist. Staff is always very friendly and helpful. - 03/02/17
  • Wonderful work no issues - 11/17/16
  • Amazing services and results. Unique experience - 10/31/16
  • 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
  • Everyone was kind and efficient. All things were clearly explained to me and I felt confident in doing my dressings. - 03/03/17
  • I was very pleased with the entire process from first visit to last visit - 09/08/16
  • Dr. Henry and Mary in PT helped me get my dominant arm back in working order. - 04/18/17
  • 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
  • Very professional - 03/30/17
  • 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
  • Doctor Henry was awesome! And Luis was very helpful and nice! - 03/20/17
  • 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
  • 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
  • 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
  • Excellent care and service! I would highly recommend Dr Henry and his staff! - 09/14/16
  • David, Teresa, Luis, Joel, and Karen have all worked with me. They were all outstanding and I highly recommend them all. - 11/30/16
  • only wish I would have come here before having surgery done elsewhere. - 11/30/16
  • thank you for helping me - 02/03/17
  • always outstanding service! - 04/12/17
  • :) - 06/01/17
  • 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
  • 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
  • Love the Doctor and his staff. - 02/08/17
  • Great staff. - 05/02/17
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • Everyone is always nice - 12/14/16
  • Mark is great and so is Luis (I would give Luis a raise!!) - 09/27/16
  • 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
  • Fabulous I will be recommending to everyone I know that can benefit from the services provided. - 03/14/17
  • 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
  • Dr Henry is a wonderful Dr. and I would highly recommend to others - 02/07/17
  • Luis and all the staff have been great each time I've come in. - 09/22/16
  • Staff was very courteous and helpful. Dr. was very informative and easy to understand. - 03/27/17
  • 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
  • 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
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • 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
  • very impressed with the whole experience. - 02/28/17
  • very helpful staff - 01/16/17
  • Great Appoitnment - 05/11/17
  • 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
  • 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
  • Great Appoitnment - 05/11/17
  • great - 10/06/16
  • thank you - 02/09/17
  • Really appreciate the education and insight related to my wrist and future athletic training - 05/31/17
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • 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
  • Very pleased with the staff and Dr Henry during my treatment. - 12/15/16
  • I enjoyed my visit - 11/14/16
  • 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
  • Excellent treatment by the physician and friendly service by the staff. Will definitely recommend to friends and family. - 09/12/16
  • great job! - 03/20/17
  • Great center with friendly staff and very competent physician. I would definitely recommend to others. - 10/20/16
  • I gained full confidence in Dr. Henry and his staff as I progressed through my recovery. - 03/28/17
  • :) - 05/11/17
  • Great work. - 02/03/17
  • Always a pleasure working with Dr. Henry and his awesome staff! - 10/07/16
  • 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
  • This was my last visit and I'll miss y'all. - 03/29/17
  • 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
  • Awesome as always! - 10/11/16
  • 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
  • Thank you! - 03/08/17
  • Staff exceptional and Dr. Henry is as well. - 11/15/16
  • Great detailed information. - 11/03/16
  • Thank you for the help. - 11/10/16
  • 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
  • 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
  • ;) - 09/08/16
  • 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 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
  • Everyone here has been awesome. We appreciate everything you all have done. thank you! - 12/05/16
  • thank you, you all were very helpful - 03/03/17
  • Great staff and speedy process! - 04/14/17










Site maintained by Dan Cutts© Copyright 2017 Hand and Wrist Center of Houston