The postoperative dressing is removed.
A Wrist and Thumb Static splint with the wrist in 15 degrees of extension and the thumb in full extension is fitted for continual wear.
4 weeks:
Active Range of Motion exercises are initiated to the wrist and thumb each hour.
The splint is continued between exercises and at night.
6 weeks:
Passive Range of Motion exercises are initiated to the wrist and thumb.
Dynamic splinting may be initiated as needed to increase Passive Range of Motion as long as a significant extensor lag is not present.
The Extension splint may be gradually discontinued as long as no extensor lag is present.
If there is an extensor lag limited to the IP joint, an IP extension Gutter may be applied to be worn between exercise and at night.
NOTE:
Initiation of passive flexion may be delayed if the patient demonstrates a significant extensor lag.
8 weeks:
Gentle progressive strengthening may be initiated using foam, putty, and a hand helper.
12 weeks:
Patient may return to full unrestricted work activities.