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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  • Very professional - 03/30/17
  • thank you, you all were very helpful - 03/03/17
  • 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
  • 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
  • Dr. Henry did an excellent job on my grandmothers wrist. Staff is always very friendly and helpful. - 03/02/17
  • 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
  • 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
  • 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 pleased with everyone and the procedures I have had done with Dr. Henry and his staff. - 12/28/16
  • 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
  • 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 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
  • thank you for helping me - 02/03/17
  • Staff exceptional and Dr. Henry is as well. - 11/15/16
  • Great center with friendly staff and very competent physician. I would definitely recommend to others. - 10/20/16
  • I feel very confident in Dr Henry and the direction I am headed. - 03/10/17
  • David, Teresa, Luis, Joel, and Karen have all worked with me. They were all outstanding and I highly recommend them all. - 11/30/16
  • 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
  • Amazing services and results. Unique experience - 10/31/16
  • only wish I would have come here before having surgery done elsewhere. - 11/30/16
  • 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 detailed information. - 11/03/16
  • I was very pleased with the entire process from first visit to last visit - 09/08/16
  • Staff was very courteous and helpful. Dr. was very informative and easy to understand. - 03/27/17
  • Doctor Henry was awesome! And Luis was very helpful and nice! - 03/20/17
  • 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
  • Great friendly staff - 10/28/16
  • I have loved coming here and felt very welcomed by everyone! Thank you so much for all you do! - 03/10/17
  • Awesome staff.. - 09/26/16
  • Excellent treatment by the physician and friendly service by the staff. Will definitely recommend to friends and family. - 09/12/16
  • Amazing people. Luis, Joel and Teresa, and Dr. Henry... I appreciate all of you. Your staff is outstanding. - 09/14/16
  • I gained full confidence in Dr. Henry and his staff as I progressed through my recovery. - 03/28/17
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • Luis and all the staff have been great each time I've come in. - 09/22/16
  • 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
  • I enjoyed my visit - 11/14/16
  • 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
  • ;) - 09/08/16
  • Amazing Doctor and staff. - 11/16/16
  • Awesome experience. Luis rocks! - 04/06/17
  • very impressed with the whole experience. - 02/28/17
  • Everyone here has been awesome. We appreciate everything you all have done. thank you! - 12/05/16
  • Excellent care and service! I would highly recommend Dr Henry and his staff! - 09/14/16
  • 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
  • Love the Doctor and his staff. - 02/08/17
  • Everyone is always nice - 12/14/16
  • Very pleased with the staff and Dr Henry during my treatment. - 12/15/16
  • 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
  • Dr Henry is a wonderful Dr. and I would highly recommend to others - 02/07/17
  • 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
  • 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
  • Dr. Henry and Mary in PT helped me get my dominant arm back in working order. - 04/18/17
  • Great staff and speedy process! - 04/14/17
  • Thank you so much for all your support and help! I have benefited a lot from this facility! - 10/13/16
  • Always a pleasure working with Dr. Henry and his awesome staff! - 10/07/16
  • Great work. - 02/03/17
  • 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
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 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
  • 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
  • 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
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • great job! - 03/20/17
  • Mark is great and so is Luis (I would give Luis a raise!!) - 09/27/16
  • 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
  • joel was also my assistant but everything was great - 03/07/17
  • great service nice folks glad I came to this office doctor was very cool - 03/23/17
  • Luis was great as well. - 01/04/17
  • This was my last visit and I'll miss y'all. - 03/29/17
  • 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
  • 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
  • always outstanding service! - 04/12/17
  • 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
  • Wonderful work no issues - 11/17/16
  • Fabulous I will be recommending to everyone I know that can benefit from the services provided. - 03/14/17
  • very helpful staff - 01/16/17
  • great - 10/06/16
  • thank you - 02/09/17
  • Thank you for the help. - 11/10/16
  • Thank you! - 03/08/17
  • 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
  • Awesome as always! - 10/11/16
  • Everyone was kind and efficient. All things were clearly explained to me and I felt confident in doing my dressings. - 03/03/17










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