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










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