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.
 
REVISION BONE SURGERY


WHAT YOU SHOULD KNOW

Failed bone surgery comes in two basic forms: bone not healed at all (non-union) or bone healed in the wrong position (mal-union). Sometimes infection and other issues have also played a role in the failure of the previous treatment. There may be metal hardware left behind in the body.

MEDICAL HISTORY

Patients may complain of pain, deformity, stiffness, weakness, and loss of function. All the details of the original injury and subsequent treatments must be reviewed. The patient should bring the typewritten reports of any previous surgeries that have been performed.

EXAMINATION

The stability of the bones and joints in the involved area will be tested along with all the relevant tendon and nerve functions. The elasticity and quality of the wounds in the area are of importance.

ADDITIONAL TESTS

Sometimes plain x-rays give all the information needed. For non-union cases, occasionally a computed tomography (CT) scan is helpful. When inadequate blood supply is an issue such as non-union of the scaphoid bone in the wrist a magnetic resonance image (MRI) scan provides this critical information.

TREATMENT OPTIONS

  CORRECTIVE OSTEOTOMY BONE GRAFTING
CONSISTS OF Cutting the malformed bone to reorient the pieces to the correct relationship Adding bone content from elsewhere in the body to reform a solid bone
FEATURES Used for both mal-union and some non-unions, usually requires internal fixation hardware to hold new relationship until healed Can be non-vascularized such as from the hip bone, regional vascularized such as for scaphoid non-unions, or a whole section of leg bone with attached blood supply for major bone reconstructions in the arm (free-fibula flap)
ADVANTAGES Only way to obtain correctly formed bone Adds needed bone material to achieve healing, vascularized bone also adds the key nutrition to help the healing process
DISADVANTAGES Must achieve healing in new position Donor site for bone graft required, the more sophisticated the bone graft - the more complex the donor site

RECOVERY

Free fibula flap cases require a week stay in the hospital for anticoagulant therapy. Bone grafts from the hip usually stay overnight for pain relief. All other cases are outpatient surgery. The reconstructed area is usually immobilized in a splint or cast until follow-up studies indicate that bone healing is occurring on schedule. At that time outpatient rehabilitation is started to regain motion and develop strength. The whole process takes months to occur. Some areas and certain bones heal faster than others.
 
 
 
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  • 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
  • always outstanding service! - 04/12/17
  • Great staff. - 05/02/17
  • excellent! dr & staff! - 06/14/17
  • 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
  • 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
  • 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 did an excellent job on my grandmothers wrist. Staff is always very friendly and helpful. - 03/02/17
  • 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
  • Thank you! - 03/08/17
  • thank you, you all were very helpful - 03/03/17
  • Dr. Henry gave me my wrist back!!! Thank you Dr. Henry!!! - 07/10/17
  • Dr. Henry and Mary in PT helped me get my dominant arm back in working order. - 04/18/17
  • 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
  • Doctor Henry was awesome! And Luis was very helpful and nice! - 03/20/17
  • 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 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
  • The staffs here was GREAT!!!! - 06/21/17
  • Very happy I came here for the surgery, etc. - 06/09/17
  • joel was also my assistant but everything was great - 03/07/17
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • 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
  • Staff was very courteous and helpful. Dr. was very informative and easy to understand. - 03/27/17
  • 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 professional - 03/30/17
  • I gained full confidence in Dr. Henry and his staff as I progressed through my recovery. - 03/28/17
  • 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
  • All the staff and Doctor Henry were great! - 05/01/17
  • 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
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • all excellent care - 07/12/17
  • very helpful staff - 01/16/17
  • :) - 05/11/17
  • Luis was great as well. - 01/04/17
  • I feel very confident in Dr Henry and the direction I am headed. - 03/10/17
  • Great work. - 02/03/17
  • :) - 06/01/17
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • 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
  • Great Appoitnment - 05/11/17
  • This was my last visit and I'll miss y'all. - 03/29/17
  • 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
  • Fabulous I will be recommending to everyone I know that can benefit from the services provided. - 03/14/17
  • thank you - 02/09/17
  • 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
  • Great staff and speedy process! - 04/14/17
  • very good team work, best clinic - 06/21/17
  • Awesome experience. Luis rocks! - 04/06/17
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • Love the Doctor and his staff. - 02/08/17
  • great job! - 03/20/17
  • 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 helping me - 02/03/17
  • Dr Henry is a wonderful Dr. and I would highly recommend to others - 02/07/17
  • Really appreciate the education and insight related to my wrist and future athletic training - 05/31/17
  • very impressed with the whole experience. - 02/28/17










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