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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  • Great Appoitnment - 05/11/17
  • Very happy I came here for the surgery, etc. - 06/09/17
  • Great Appoitnment - 05/11/17
  • 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 helping me - 02/03/17
  • I feel very confident in Dr Henry and the direction I am headed. - 03/10/17
  • all excellent care - 07/12/17
  • This was my last visit and I'll miss y'all. - 03/29/17
  • Dr. Henry did an excellent job on my grandmothers wrist. Staff is always very friendly and helpful. - 03/02/17
  • Love the Doctor and his staff. - 02/08/17
  • 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
  • Everyone was kind and efficient. All things were clearly explained to me and I felt confident in doing my dressings. - 03/03/17
  • Really appreciate the education and insight related to my wrist and future athletic training - 05/31/17
  • 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
  • Great staff. - 05/02/17
  • All the staff and Doctor Henry were great! - 05/01/17
  • Dr. Henry and Mary in PT helped me get my dominant arm back in working order. - 04/18/17
  • great service nice folks glad I came to this office doctor was very cool - 03/23/17
  • always outstanding service! - 04/12/17
  • Great staff and speedy process! - 04/14/17
  • Fabulous I will be recommending to everyone I know that can benefit from the services provided. - 03/14/17
  • Dr Henry is a wonderful Dr. and I would highly recommend to others - 02/07/17
  • joel was also my assistant but everything was great - 03/07/17
  • Luis was great as well. - 01/04/17
  • 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
  • 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 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
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • 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
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • great job! - 03/20/17
  • :) - 05/11/17
  • The staffs here was GREAT!!!! - 06/21/17
  • Doctor Henry was awesome! And Luis was very helpful and nice! - 03/20/17
  • 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
  • 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
  • Staff was very courteous and helpful. Dr. was very informative and easy to understand. - 03/27/17
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • 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
  • 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
  • Dr. Henry gave me my wrist back!!! Thank you Dr. Henry!!! - 07/10/17
  • excellent! dr & staff! - 06/14/17
  • 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
  • :) - 06/01/17
  • thank you, you all were very helpful - 03/03/17
  • Thank you! - 03/08/17
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • Awesome experience. Luis rocks! - 04/06/17
  • thank you - 02/09/17
  • very helpful staff - 01/16/17
  • 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
  • very impressed with the whole experience. - 02/28/17
  • 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
  • very good team work, best clinic - 06/21/17
  • I have loved coming here and felt very welcomed by everyone! Thank you so much for all you do! - 03/10/17
  • I gained full confidence in Dr. Henry and his staff as I progressed through my recovery. - 03/28/17
  • Great work. - 02/03/17










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