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


  • 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 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
  • 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
  • Outstanding service and results - 10/30/17
  • dr henry does an excellent job of explaining the problem and solution, seems extremely competent - 02/07/18
  • Dr. Henry brought me peace of mind about my ganglion cyst recovery, and made the entire process of getting the cyst removed easy and manageable. - 1/11/19
  • Awesome facility. Fast results. Thoroughly explained causes of pain, diagnosis and treatment. Staff wonderful. Facility is amazing - 10/10/18
  • excellent! dr & staff! - 06/14/17
  • you were very good, thank you very much - 05/17/18
  • David, Luis and the staff were so helpful and answered all my questions. Highly recommend the facility for any hand surgeries. - 09/27/18
  • 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
  • very confortable,Dr. Henrry very professional and very friendly staff - 12/05/17
  • 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
  • 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 was great, explained my situation and options to me very well and recommended the best option for me. I appreciated his understanding of my situation and feelings, and offering the best solution for me, very much - 12/14/18
  • very helpful. staff was very helpful and outstanding. Dr. Henry explained everything to me - 06/19/18
  • great doctor - 05/23/18
  • The doctor and staff are the best I have ever had. Very professionalism at its best. - 11/15/17
  • Thank you for repairing my injury and being kind in the process. - 01/10/18
  • an experience beyond expectation - 10/06/17
  • Thank you to all. Great Job! - 1/9/19
  • Thank you all very much, Everyone was kind and helpful. Dr. Henry did excellent in always explaining the process of the care as well as the injury itself. - 12/14/18
  • every thing was really great - 10/19/17
  • The visit was good - 09/27/18
  • :) - 06/01/17
  • no complaints hand is coming along very well - 11/06/17
  • I was so impressed that Dr. Henry took so much time with me, explaining the whole process of my injury, what should have happened, and what we can do going forward. Thank you! - 09/28/18
  • thank you - 10/16/17
  • 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 knowledge and gets you into the hospital if needed the same. - 02/09/18
  • 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 appreciate the expertise and experience of Dr. Henry!!! I know I had the BEST hand surgeon!!! - 05/02/18
  • everyone was very helpful. - 10/02/18
  • Great service and attention to patient needs. Staff was very attentive. - 09/17/18
  • every body was excelent - 01/09/18
  • Dr. Henry is a tremendous doctor! - 05/22/18
  • Very nice staff and surgeon. Thumb looks good now after surgery, hopefully thumb continues to heal and stays healed. Thank you - 01/30/18
  • very good team work, best clinic - 06/21/17
  • 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
  • Awesome staff. - 09/25/18
  • This was the best choice I have ever made to have my hard repaired. Doctor Henry and his staff did an outstanding job of giving me the use of my hand back! - 12/12/18
  • Very efficient practice - 10/19/17
  • Great experience on every visit. Doctor Henry's work is fantastic and his explanations are thorough. I recommend him highly whenever the opportunity presents. - 09/26/18
  • Dr. Henry gave me my wrist back!!! Thank you Dr. Henry!!! - 07/10/17
  • Thank you for sewing me back together and guiding me through my recovery!!! - 05/15/18
  • The staffs here was GREAT!!!! - 06/21/17
  • Very happy I came here for the surgery, etc. - 06/09/17
  • Great Doctor and staff. Luis is a wonderful asset to the staff - 12/18/17
  • 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
  • love the circus de sole dvd. everything was amazing. rehab was the best too. - 02/23/18
  • 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
  • Great job your staff is the best,thank you &GOD Bless all of you! - 06/15/18
  • I appreciated everyone being friendly and professional and quick and competent at what they do. Dr Henry is straightforward and clear with no extra b/s and I was quite pleased with that. - 09/20/18
  • all excellent care - 07/12/17
  • Fantastic. Very helpful and considerate staff and manner. Very much appreciated. Fully recommend in for the future. Thanks, Andrew - 09/19/18
  • Visit was pleasant and went smoothly. No complaints. Outstanding service. - 09/14/18
  • 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
  • the whole group was very good, I had an excellent experience. - 11/09/17
  • Dr. Henry was very informative about the treatment and staff was pleasant. - 01/11/18
  • Dr.henry knew his stuff. he was friendly but straight to the point. - 09/11/18
  • Great doctor and good staff - 10/10/18










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