Distal Biceps Repair Protocol

Keys to a Successful Outcome

  • Brace should be worn at all times to allow the surgical elbow to heal accordingly.

  • No lifting with the surgical arm is allowed for at least six weeks post-op.

  • Avoid any excessive motions with the elbow for at least 12 weeks post-op. Cautiously begin ROM exercises at 3 weeks under the supervision of a physical therapist.

Phase
Brace
ROM
WB
Exercises
Weeks 0-3
Splint/brace worn at all times (locked at 90° degrees)
None
NWB
Gentle wrist and shoulder ROM
Weeks 3-6
Worn at all times (including exercise); removed for hygiene
Active extension to 30° degrees in brace
NWB
Continue with wrist/shoulder ROM; begin active ext to 30°;no active flex; gentle joint mobilization
Weeks 6-9
Worn at all times (including exercise); removed for hygiene
Active extension to 0° degrees in brace
PWB
Continue to maintain wrist/shoulder flexibility; begin RTC/deltoid isometrics; progress to full active ext in brace; begin light AA flexion
Weeks 9-12
None
Gentle advance ROM to tolerance
Progressive WBAT
Begin active flex/ext against gravity; advance strengthening of RTC/deltoids

 

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