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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  • excellent! dr & staff! - 06/14/17
  • very helpful. staff was very helpful and outstanding. Dr. Henry explained everything to me - 06/19/18
  • With the severity of my injury I am amazed at how functional my wrist is with the amazing team work shown at the office. From the very start the service and care have been outstanding!! I can't thank everyone enough! - 02/23/18
  • David, Luis and the staff were so helpful and answered all my questions. Highly recommend the facility for any hand surgeries. - 09/27/18
  • Awesome staff. - 09/25/18
  • 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
  • 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
  • Awesome facility. Fast results. Thoroughly explained causes of pain, diagnosis and treatment. Staff wonderful. Facility is amazing - 10/10/18
  • 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 happy I came here for the surgery, etc. - 06/09/17
  • Great service and attention to patient needs. Staff was very attentive. - 09/17/18
  • thank you - 10/16/17
  • Great doctor and good staff - 10/10/18
  • Dr. Henry is a tremendous doctor! - 05/22/18
  • The doctor and staff are the best I have ever had. Very professionalism at its best. - 11/15/17
  • 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
  • great doctor - 05/23/18
  • very confortable,Dr. Henrry very professional and very friendly staff - 12/05/17
  • The visit was good - 09/27/18
  • :) - 06/01/17
  • the whole group was very good, I had an excellent experience. - 11/09/17
  • I was so impressed that Dr. Henry took so much time with me, explaining the whole process of my injury, what should have happened, and what we can do going forward. Thank you! - 09/28/18
  • love the circus de sole dvd. everything was amazing. rehab was the best too. - 02/23/18
  • dr henry does an excellent job of explaining the problem and solution, seems extremely competent - 02/07/18
  • Great experience on every visit. Doctor Henry's work is fantastic and his explanations are thorough. I recommend him highly whenever the opportunity presents. - 09/26/18
  • Thank you for sewing me back together and guiding me through my recovery!!! - 05/15/18
  • The staffs here was GREAT!!!! - 06/21/17
  • I appreciate the expertise and experience of Dr. Henry!!! I know I had the BEST hand surgeon!!! - 05/02/18
  • 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
  • Very efficient practice - 10/19/17
  • Dr. Mark Henry is a true healer; the finest most competent doctor I've ever encountered. I am forever grateful to Dr. Henry and the entire staff for saving my finger and facilitating my complete recovery with grace and seriousness of intent. Thank you. - 01/10/18
  • every thing was really great - 10/19/17
  • Visit was pleasant and went smoothly. No complaints. Outstanding service. - 09/14/18
  • Dr. Henry gave me my wrist back!!! Thank you Dr. Henry!!! - 07/10/17
  • I couldn't be more pleased with the level of service I received while in Dr. Henry's care. The level of detail in which my injury was explained and resolved, and the level of competency that was displayed throughout the healing was truly outstanding. - 01/30/18
  • Dr. Henry was very informative about the treatment and staff was pleasant. - 01/11/18
  • Dr.henry knew his stuff. he was friendly but straight to the point. - 09/11/18
  • Great job your staff is the best,thank you &GOD Bless all of you! - 06/15/18
  • no complaints hand is coming along very well - 11/06/17
  • MD was very thorough and spent a good amount of time with the patient (me). MD had good bedside manners which you do not see from a lot of doctors nowadays. He also made sure everything was understood and that I was given a chance to ask questions or address any concerns I had. Everyone was courteous and professional. Thank you for making mu visit a pleasant one. - 05/02/18
  • Dr. Henry and his staff are phenomenal. Dr. Henry has a gift for not only treating health issues extremely effectively, but he is extremely thorough and very efficient at communication and explaining everything he is doing and all of clearly outlining your options for future procedures. - 05/11/18
  • all excellent care - 07/12/17
  • Outstanding service and results - 10/30/17
  • Great Doctor and staff. Luis is a wonderful asset to the staff - 12/18/17
  • Thank you for repairing my injury and being kind in the process. - 01/10/18
  • very good team work, best clinic - 06/21/17
  • everyone was very helpful. - 10/02/18
  • Very nice staff and surgeon. Thumb looks good now after surgery, hopefully thumb continues to heal and stays healed. Thank you - 01/30/18
  • every body was excelent - 01/09/18
  • 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
  • Fantastic. Very helpful and considerate staff and manner. Very much appreciated. Fully recommend in for the future. Thanks, Andrew - 09/19/18
  • an experience beyond expectation - 10/06/17
  • outstanding knowledge and gets you into the hospital if needed the same. - 02/09/18
  • you were very good, thank you very much - 05/17/18
  • I appreciated everyone being friendly and professional and quick and competent at what they do. Dr Henry is straightforward and clear with no extra b/s and I was quite pleased with that. - 09/20/18
  • Dr. Henry and his staff are amazing! I was able to get an urgent new patient appointment immediately with surgery that same afternoon. Dr. Henry does an excellent and thorough job explaining my injury and the healing process. Very impressed with his plan of early mobility and physical therapy, which helped restore my function back to normal within 8 weeks of surgery. I would 100% recommend Dr. Henry and his staff! Very pleased and grateful for his help. - 03/23/18










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