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.
 
WOUND RECONSTRUCTION


WHAT YOU SHOULD KNOW

Wound ReconstructionTraumatic wounds may be small or large, but what really matters is what lies underneath. If the wound exposes tendons, bones, joints, or nerves then it cannot be covered with a simple skin graft. It will require fully padded coverage with its own blood supply in the form of a flap. The word flap simply means a piece of tissue from the body that is used to reconstruct another area.  Flaps may be local and stay connected by a piece of skin, regional and stay connected only by tiny blood vessels or free flaps that come completely separated and then rejoined by sewing together tiny blood vessels.

MEDICAL HISTORY

The details of the original injury circumstances are important to understand how much of the wound occurred due to cutting of tissue compared to crushing of tissue.

EXAMINATION

Measuring the dimensions of the wound and determining what other structures are injured in terms of fractures, dislocations, tendon and nerve lacerations.

ADDITIONAL TESTS

None are usually needed.

TREATMENT OPTIONS

  SKIN GRAFT REGIONAL FLAP FREE FLAP
CONSISTS OF Split or full thickness section of skin placed over wound Full quality tissue coverage with its own attached blood supply Full quality coverage with detachable blood supply
FEATURES Taken from outside of thigh if large or from nearby on hand if small Sources come from specific locations nearby according to a set of anatomic rules Wide choice of sources come from all over the body
ADVANTAGES Simplest method No sewing of blood vessels required Most versatile option, tailor to fit needs
DISADVANTAGES No blood supply of its o


  • :) - 05/11/17
  • 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
  • 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 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
  • This was my last visit and I'll miss y'all. - 03/29/17
  • thank you for helping me - 02/03/17
  • joel was also my assistant but everything was great - 03/07/17
  • :) - 06/01/17
  • 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
  • Excellent care and service! I would highly recommend Dr Henry and his staff! - 09/14/16
  • 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
  • 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
  • Great Appoitnment - 05/11/17
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • Everyone is always nice - 12/14/16
  • 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
  • Really appreciate the education and insight related to my wrist and future athletic training - 05/31/17
  • Mark is great and so is Luis (I would give Luis a raise!!) - 09/27/16
  • only wish I would have come here before having surgery done elsewhere. - 11/30/16
  • Wonderful work no issues - 11/17/16
  • 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
  • thank you, you all were very helpful - 03/03/17
  • 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
  • Great staff. - 05/02/17
  • I feel very confident in Dr Henry and the direction I am headed. - 03/10/17
  • 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
  • I was very pleased with the entire process from first visit to last visit - 09/08/16
  • 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
  • Amazing Doctor and staff. - 11/16/16
  • I have loved coming here and felt very welcomed by everyone! Thank you so much for all you do! - 03/10/17
  • Everyone here has been awesome. We appreciate everything you all have done. thank you! - 12/05/16
  • excellent! dr & staff! - 06/14/17
  • 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
  • Awesome as always! - 10/11/16
  • Thank you! - 03/08/17
  • Very pleased with everyone and the procedures I have had done with Dr. Henry and his staff. - 12/28/16
  • 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
  • Dr. Henry did an excellent job on my grandmothers wrist. Staff is always very friendly and helpful. - 03/02/17
  • always outstanding service! - 04/12/17
  • 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
  • David, Teresa, Luis, Joel, and Karen have all worked with me. They were all outstanding and I highly recommend them all. - 11/30/16
  • 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
  • Everyone was kind and efficient. All things were clearly explained to me and I felt confident in doing my dressings. - 03/03/17
  • Great center with friendly staff and very competent physician. I would definitely recommend to others. - 10/20/16
  • 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
  • Staff exceptional and Dr. Henry is as well. - 11/15/16
  • Great work. - 02/03/17
  • 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
  • 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
  • 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
  • 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
  • Very professional - 03/30/17
  • Luis was great as well. - 01/04/17
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • very good team work, best clinic - 06/21/17
  • Amazing services and results. Unique experience - 10/31/16
  • Always a pleasure working with Dr. Henry and his awesome staff! - 10/07/16
  • Great detailed information. - 11/03/16
  • 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
  • very helpful staff - 01/16/17
  • 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
  • Amazing people. Luis, Joel and Teresa, and Dr. Henry... I appreciate all of you. Your staff is outstanding. - 09/14/16
  • great service nice folks glad I came to this office doctor was very cool - 03/23/17
  • Great friendly staff - 10/28/16
  • Thank you for the help. - 11/10/16
  • Thank you so much for all your support and help! I have benefited a lot from this facility! - 10/13/16
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • I enjoyed my visit - 11/14/16
  • Luis and all the staff have been great each time I've come in. - 09/22/16
  • Awesome experience. Luis rocks! - 04/06/17
  • 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
  • All the staff and Doctor Henry were great! - 05/01/17
  • great - 10/06/16
  • 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
  • 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
  • Fabulous I will be recommending to everyone I know that can benefit from the services provided. - 03/14/17
  • 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
  • I gained full confidence in Dr. Henry and his staff as I progressed through my recovery. - 03/28/17
  • Great staff and speedy process! - 04/14/17
  • 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
  • Very happy I came here for the surgery, etc. - 06/09/17
  • Doctor Henry was awesome! And Luis was very helpful and nice! - 03/20/17
  • great job! - 03/20/17
  • The staffs here was GREAT!!!! - 06/21/17
  • Great Appoitnment - 05/11/17
  • 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 impressed with the whole experience. - 02/28/17
  • ;) - 09/08/16
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • Dr Henry is a wonderful Dr. and I would highly recommend to others - 02/07/17
  • 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
  • thank you - 02/09/17
  • Staff was very courteous and helpful. Dr. was very informative and easy to understand. - 03/27/17










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