Boutonniere deformity open treatment therapy

Preoperative splinting aimed at maximizing range of motion is essential before beginning any open treatment of deformity of boutonniere deformity.

3 - 6 weeks:

The PIP Joint may be pinned in extension.

6 weeks:

The pin is removed.

A Gutter splint holding the PIP joint in full extension is fitted to be worn between exercises and at night.

Active Range of Motion exercises are initiated 15 min/hr.

7 weeks:

Passive Range of Motion exercises may be initiated as needed.

The Gutter splint is continued between exercises as needed.

NOTE:

The indication of Passive Range of Motion exercises may be postponed or discontinued entirely if an extensor lag is present of is greater than 20 degrees.

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