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Distal Radius Fracture Rehab Protocol
Keys to a Successful Outcome
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Brace should be worn at all times to allow the surgical elbow to heal accordingly.
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No lifting with the surgical arm is allowed for at least six weeks post-op.
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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 0-2 | Post-op dressing intact | None | NWB | Begin finger ROM and forearm rotation |
Weeks 2-4 | Wear at all times | None | NWB | Continue finger ROM, forearm rotation; begin elbow & shoulder ROM; initiate thumb IP blocking exercises. |
Weeks 4-6 | Wear at all times | Gentle AROM | NWB | Begin gentle wrist AROM; Continue previous ROM exercises. |
Weeks 6+ | Wean from brace | PROM>>AROM | PWB | Begin wrist PROM progress to AROM; Begin gentle strengthening exercises |
Weeks 12+ | None | FAROM | FWB | Continue working on strength, as needed. |
*May remove for hygiene and exercises
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