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










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