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.
 
 
 
Back to Medical Conditions
 
 


  • Very happy I came here for the surgery, etc. - 06/09/17
  • everyone was very helpful. - 10/02/18
  • 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
  • very helpful. staff was very helpful and outstanding. Dr. Henry explained everything to me - 06/19/18
  • 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
  • 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
  • dr henry does an excellent job of explaining the problem and solution, seems extremely competent - 02/07/18
  • Thank you for repairing my injury and being kind in the process. - 01/10/18
  • love the circus de sole dvd. everything was amazing. rehab was the best too. - 02/23/18
  • The visit was good - 09/27/18
  • very confortable,Dr. Henrry very professional and very friendly staff - 12/05/17
  • Great Doctor and staff. Luis is a wonderful asset to the staff - 12/18/17
  • 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
  • I appreciate the expertise and experience of Dr. Henry!!! I know I had the BEST hand surgeon!!! - 05/02/18
  • the whole group was very good, I had an excellent experience. - 11/09/17
  • great doctor - 05/23/18
  • 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
  • :) - 06/01/17
  • The doctor and staff are the best I have ever had. Very professionalism at its best. - 11/15/17
  • an experience beyond expectation - 10/06/17
  • 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
  • Fantastic. Very helpful and considerate staff and manner. Very much appreciated. Fully recommend in for the future. Thanks, Andrew - 09/19/18
  • outstanding knowledge and gets you into the hospital if needed the same. - 02/09/18
  • Great service and attention to patient needs. Staff was very attentive. - 09/17/18
  • Dr. Henry gave me my wrist back!!! Thank you Dr. Henry!!! - 07/10/17
  • 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
  • Awesome staff. - 09/25/18
  • very good team work, best clinic - 06/21/17
  • Dr.henry knew his stuff. he was friendly but straight to the point. - 09/11/18
  • Very efficient practice - 10/19/17
  • no complaints hand is coming along very well - 11/06/17
  • excellent! dr & staff! - 06/14/17
  • 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
  • Great job your staff is the best,thank you &GOD Bless all of you! - 06/15/18
  • Visit was pleasant and went smoothly. No complaints. Outstanding service. - 09/14/18
  • Great doctor and good staff - 10/10/18
  • Dr. Henry was very informative about the treatment and staff was pleasant. - 01/11/18
  • 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 staffs here was GREAT!!!! - 06/21/17
  • every body was excelent - 01/09/18
  • 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 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
  • Thank you for sewing me back together and guiding me through my recovery!!! - 05/15/18
  • 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
  • Very nice staff and surgeon. Thumb looks good now after surgery, hopefully thumb continues to heal and stays healed. Thank you - 01/30/18
  • 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 facility. Fast results. Thoroughly explained causes of pain, diagnosis and treatment. Staff wonderful. Facility is amazing - 10/10/18
  • thank you - 10/16/17
  • Outstanding service and results - 10/30/17
  • all excellent care - 07/12/17
  • you were very good, thank you very much - 05/17/18
  • 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
  • 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
  • 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
  • every thing was really great - 10/19/17
  • Dr. Henry is a tremendous doctor! - 05/22/18










Site maintained by Dan Cutts© Copyright 2018 Hand and Wrist Center of Houston