The postoperative dressing is removed, and the PIP joint pin is removed.
Active and passive flexion and extension exercises are initiated 15 min/hr to the MCP and PIP joints.
NOTE:
The last 15 degrees of PIP extension helps to tighten the transfer further.
A Tip Protector splint is fitted to the DIP joint to prevent trauma to the pin and/or button.
4 weeks:
The DIP joint pin and button are removed.
An Extension Gutter splint is constructed for the DIP joint to be worn between exercises sessions.
Active DIP flexion exercises are initiated.
6 weeks:
Passive DIP flexion exercises are initiated.
The DIP Extension Gutter is continued as needed.
Dynamic splinting may be used as needed to increase Passive Range of Motion.