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.
 
RECONSTRUCTION FOR NERVE DEFICIT


WHAT YOU SHOULD KNOW

Injuries to the limb that damage nerves rob patients of critical functions. Nerve damage is graded on a six-point scale with higher numbers worse. Grade I and II nerve damage cannot be helped by surgery. Higher-grade injuries may benefit from surgery. Once nerve damage exists there will always be gap of some length between the healthy nerve above and the nerve target for grafting below. Even after reconnection, nerve fibers only regrow at the speed of a millimeter per day. Muscles atrophy quickly and if new nerve fibers cannot be made to reach them by a year from injury, it is usually not worth reconstructing.

MEDICAL HISTORY

The details of the original injury and any other surgeries that have been performed are critical to planning the reconstruction. The patient should bring any reports of previous surgeries.

EXAMINATION

Each of the arm's nerve functions is specifically tested for both movement and feeling ability.

ADDITIONAL TESTS

Electrical nerve tests are valuable in confirming the findings of the physical examination and sometimes distinguishing between partial and complete nerve injuries.

TREATMENT OPTIONS

  NERVE GRAFTS NERVE TRANSFERS TENDON TRANSFERS
CONSISTS OF Splicing segments of the patient's own nerves between damaged segments Moving a working nerve from its original assignment to connect to the damaged nerve Moving a working tendon from its original assignment to one needed to make up for one of the lost movement functions
FEATURES Nerve grafts taken from the back of the leg Done close to the targets for movement and feeling to minimize time to recovery Only tendons that can afford to give up their original function are used
ADVANTAGES The original muscles are reactivated Reduces the long wait for recovery seen with nerve grafting Can be done up to almost any time after injury
DISADVANTAGES Only effective if done early, final function usually quite weak compared to normal Limited source of nerves available for transfer, the brain must learn to use the new connection Substitution with a tendon transfer can never really recreate the original lost function and the brain must learn to use the new connection

RECOVERY

Sutures are removed in the office at 2 weeks. Limited protection on movement is observed for the first several weeks after nerve grafting or nerve transfer. The first 4 weeks after tendon transfer, protective splints are used. Tendon transfer cases continue on with motion exercises to maximize tendon functions and finish with strengthening over around a 3-month process. Nerve surgery cases have a prolonged period of waiting until evidence of functional recovery first appears. At that time, the patient re-enters therapy for specific exercises that assist in developing the nerve connections to their targets.
 
 
 
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  • I feel very confident in Dr Henry and the direction I am headed. - 03/10/17
  • Doctor Henry was awesome! And Luis was very helpful and nice! - 03/20/17
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • Everyone here has been awesome. We appreciate everything you all have done. thank you! - 12/05/16
  • 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
  • Great staff and speedy process! - 04/14/17
  • Dr. Henry and Mary in PT helped me get my dominant arm back in working order. - 04/18/17
  • 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
  • Thank you! - 03/08/17
  • 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
  • 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
  • Great center with friendly staff and very competent physician. I would definitely recommend to others. - 10/20/16
  • Amazing services and results. Unique experience - 10/31/16
  • 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
  • David, Teresa, Luis, Joel, and Karen have all worked with me. They were all outstanding and I highly recommend them all. - 11/30/16
  • 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
  • thank you for helping me - 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
  • Very professional - 03/30/17
  • 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
  • thank you, you all were very helpful - 03/03/17
  • great job! - 03/20/17
  • Awesome as always! - 10/11/16
  • Great friendly staff - 10/28/16
  • Awesome experience. Luis rocks! - 04/06/17
  • I gained full confidence in Dr. Henry and his staff as I progressed through my recovery. - 03/28/17
  • 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
  • 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
  • I was very pleased with the entire process from first visit to last visit - 09/08/16
  • 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
  • Fabulous I will be recommending to everyone I know that can benefit from the services provided. - 03/14/17
  • Everyone was kind and efficient. All things were clearly explained to me and I felt confident in doing my dressings. - 03/03/17
  • Mark is great and so is Luis (I would give Luis a raise!!) - 09/27/16
  • 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
  • Excellent care and service! I would highly recommend Dr Henry and his staff! - 09/14/16
  • very helpful staff - 01/16/17
  • 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
  • always outstanding service! - 04/12/17
  • Wonderful work no issues - 11/17/16
  • great service nice folks glad I came to this office doctor was very cool - 03/23/17
  • I have loved coming here and felt very welcomed by everyone! Thank you so much for all you do! - 03/10/17
  • 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
  • Staff exceptional and Dr. Henry is as well. - 11/15/16
  • only wish I would have come here before having surgery done elsewhere. - 11/30/16
  • 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
  • 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
  • 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
  • Love the Doctor and his staff. - 02/08/17
  • Amazing Doctor and staff. - 11/16/16
  • Amazing people. Luis, Joel and Teresa, and Dr. Henry... I appreciate all of you. Your staff is outstanding. - 09/14/16
  • Dr Henry is a wonderful Dr. and I would highly recommend to others - 02/07/17
  • Everyone is always nice - 12/14/16
  • I enjoyed my visit - 11/14/16
  • 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
  • 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
  • Excellent treatment by the physician and friendly service by the staff. Will definitely recommend to friends and family. - 09/12/16
  • Dr. Henry did an excellent job on my grandmothers wrist. Staff is always very friendly and helpful. - 03/02/17
  • Very pleased with the staff and Dr Henry during my treatment. - 12/15/16
  • Thank you so much for all your support and help! I have benefited a lot from this facility! - 10/13/16
  • Always a pleasure working with Dr. Henry and his awesome staff! - 10/07/16
  • great - 10/06/16
  • Awesome staff.. - 09/26/16
  • Great detailed information. - 11/03/16
  • Great work. - 02/03/17
  • ;) - 09/08/16
  • This was my last visit and I'll miss y'all. - 03/29/17
  • thank you - 02/09/17
  • 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
  • joel was also my assistant but everything was great - 03/07/17
  • Thank you for the help. - 11/10/16
  • 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
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • 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
  • Luis was great as well. - 01/04/17
  • very impressed with the whole experience. - 02/28/17
  • 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
  • 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
  • Staff was very courteous and helpful. Dr. was very informative and easy to understand. - 03/27/17
  • 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
  • Luis and all the staff have been great each time I've come in. - 09/22/16
  • 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
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17










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