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 TENDON SURGERY


WHAT YOU SHOULD KNOW

After tendon rupture of laceration a critical function is lost. After surgery to restore that function has failed the patient usually has added significant stiffness to the simpler problem of a lost function. Heavily scarred or unstable wounds and associated nerve or skeletal injuries may complicate the situation further.

MEDICAL HISTORY

Patients may complain of pain, weakness, stiffness, 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

Each of the relevant tendon functions is carefully tested along with individual joint ranges of motion, both active and passive. Careful note is taken of the elasticity and quality of all nearby wounds and relevant nerve functions.

ADDITIONAL TESTS

Plain x-rays will demonstrate any joint damage that might make achieving good function more difficult.

TREATMENT OPTIONS

  TENDON TRANSFER TENDON GRAFTING
CONSISTS OF Moving a working tendon from its original assignment to one needed to make up for one of the lost movement functions One or two stage replacement of a segment of tendon with a new piece of tendon taken from elsewhere in the body
FEATURES Only tendons that can afford to give up their original function are used Silicone rods are placed in the tendon pathway in stage one then replaced with actual tendon in stage two
ADVANTAGES Transferred tendons have blood supply and a single connection point that must heal The brain is using the original muscle to tendon unit it is programmed to understand
DISADVANTAGES Substitution with a tendon transfer can never really recreate the original lost function and the brain must learn to use the new connection Lack of blood supply to the spliced tendon segment causes significant adhesions and limited final motion, 2 connection points that must heal

RECOVERY

Outpatient rehabilitation exercises are begun early to maintain motion in the joints. Stress is kept off the tendon connections until healing has occurred. Early healing takes place in the first 4-6 weeks with full healing only after several months. The second phase of rehabilitation includes exercises to pull the tendons along their pathway to limit sticking or adherence that will cause a restriction of final motion. For tendon transfer or one stage grafting the whole process takes just over 3 months. For two stage tendon grafting the process takes over 6 months.
 
 
 
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  • :) - 06/01/17
  • The staffs here was GREAT!!!! - 06/21/17
  • 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
  • Fabulous I will be recommending to everyone I know that can benefit from the services provided. - 03/14/17
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 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
  • 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
  • Dr. Henry and Mary in PT helped me get my dominant arm back in working order. - 04/18/17
  • Dr Henry is a wonderful Dr. and I would highly recommend to others - 02/07/17
  • Outstanding service and results - 10/30/17
  • great job! - 03/20/17
  • joel was also my assistant but everything was great - 03/07/17
  • no complaints hand is coming along very well - 11/06/17
  • 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
  • :) - 05/11/17
  • very impressed with the whole experience. - 02/28/17
  • Great work. - 02/03/17
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • Great staff. - 05/02/17
  • every thing was really great - 10/19/17
  • very confortable,Dr. Henrry very professional and very friendly staff - 12/05/17
  • Luis was great as well. - 01/04/17
  • 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 Appoitnment - 05/11/17
  • The doctor and staff are the best I have ever had. Very professionalism at its best. - 11/15/17
  • Dr. Henry gave me my wrist back!!! Thank you Dr. Henry!!! - 07/10/17
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • Awesome experience. Luis rocks! - 04/06/17
  • Very professional - 03/30/17
  • Everyone was kind and efficient. All things were clearly explained to me and I felt confident in doing my dressings. - 03/03/17
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • 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
  • 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
  • very good team work, best clinic - 06/21/17
  • Very efficient practice - 10/19/17
  • the whole group was very good, I had an excellent experience. - 11/09/17
  • Very happy I came here for the surgery, etc. - 06/09/17
  • 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
  • thank you - 02/09/17
  • an experience beyond expectation - 10/06/17
  • great service nice folks glad I came to this office doctor was very cool - 03/23/17
  • all excellent care - 07/12/17
  • thank you for helping me - 02/03/17
  • Great staff and speedy process! - 04/14/17
  • 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
  • Doctor Henry was awesome! And Luis was very helpful and nice! - 03/20/17
  • 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
  • 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
  • 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
  • very helpful staff - 01/16/17
  • 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
  • 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! - 03/08/17
  • I have loved coming here and felt very welcomed by everyone! Thank you so much for all you do! - 03/10/17
  • 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
  • Really appreciate the education and insight related to my wrist and future athletic training - 05/31/17
  • This was my last visit and I'll miss y'all. - 03/29/17
  • I feel very confident in Dr Henry and the direction I am headed. - 03/10/17
  • always outstanding service! - 04/12/17
  • Dr. Henry did an excellent job on my grandmothers wrist. Staff is always very friendly and helpful. - 03/02/17
  • I gained full confidence in Dr. Henry and his staff as I progressed through my recovery. - 03/28/17
  • 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
  • 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
  • thank you - 10/16/17
  • 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
  • thank you, you all were very helpful - 03/03/17
  • Staff was very courteous and helpful. Dr. was very informative and easy to understand. - 03/27/17
  • excellent! dr & staff! - 06/14/17
  • 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
  • Love the Doctor and his staff. - 02/08/17










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