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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  • Love the Doctor and his staff. - 02/08/17
  • 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
  • I have loved coming here and felt very welcomed by everyone! Thank you so much for all you do! - 03/10/17
  • 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
  • Great Appoitnment - 05/11/17
  • Staff was very courteous and helpful. Dr. was very informative and easy to understand. - 03/27/17
  • Great staff. - 05/02/17
  • Dr. Henry did an excellent job on my grandmothers wrist. Staff is always very friendly and helpful. - 03/02/17
  • very impressed with the whole experience. - 02/28/17
  • Fabulous I will be recommending to everyone I know that can benefit from the services provided. - 03/14/17
  • an experience beyond expectation - 10/06/17
  • :) - 06/01/17
  • 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
  • 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
  • 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 happy I came here for the surgery, etc. - 06/09/17
  • very helpful staff - 01/16/17
  • Great staff and speedy process! - 04/14/17
  • Doctor Henry was awesome! And Luis was very helpful and nice! - 03/20/17
  • Awesome experience. Luis rocks! - 04/06/17
  • Very professional - 03/30/17
  • 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
  • Great Appoitnment - 05/11/17
  • very good team work, best clinic - 06/21/17
  • 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
  • Great work. - 02/03/17
  • thank you for helping me - 02/03/17
  • 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
  • joel was also my assistant but everything was great - 03/07/17
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • thank you - 02/09/17
  • 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
  • great job! - 03/20/17
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • Really appreciate the education and insight related to my wrist and future athletic training - 05/31/17
  • I gained full confidence in Dr. Henry and his staff as I progressed through my recovery. - 03/28/17
  • All the staff and Doctor Henry were great! - 05/01/17
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • The staffs here was GREAT!!!! - 06/21/17
  • thank you, you all were very helpful - 03/03/17
  • 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
  • Very efficient practice - 10/19/17
  • Luis was great as well. - 01/04/17
  • I feel very confident in Dr Henry and the direction I am headed. - 03/10/17
  • 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
  • :) - 05/11/17
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • excellent! dr & staff! - 06/14/17
  • This was my last visit and I'll miss y'all. - 03/29/17
  • thank you - 10/16/17
  • every thing was really great - 10/19/17
  • 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
  • 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
  • all excellent care - 07/12/17
  • Dr Henry is a wonderful Dr. and I would highly recommend to others - 02/07/17
  • Everyone was kind and efficient. All things were clearly explained to me and I felt confident in doing my dressings. - 03/03/17
  • Thank you! - 03/08/17
  • 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
  • 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
  • great service nice folks glad I came to this office doctor was very cool - 03/23/17
  • Dr. Henry and Mary in PT helped me get my dominant arm back in working order. - 04/18/17
  • always outstanding service! - 04/12/17
  • 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
  • Dr. Henry gave me my wrist back!!! Thank you Dr. Henry!!! - 07/10/17










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