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


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










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