Volar Volar PIP fracture dislocation therapy

7 - 10 days:

The postoperative dressing is removed.

A Cylinder cast or Gutter splint is fitted to the PIP joint for continual wear.

Active and Passive Range of Motion exercises are initiated to the MCP and DIP joints 15 min/hr.

6 weeks:

Active Range of Motion exercises are initiated to the PIP joint.

A Gutter between exercises and at night.

8 weeks:

Passive Range of Motion exercises are initiated to the PIP joint.

Dynamic splinting may be used as necessary.

NOTE:

The initiation of Passive Range of Motion exercises and/or dynamic splinting may be postponed if an extension lag of is greater than 30 degrees is present.

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