Metacarpal Fracture rigid fixation therapy
Rigid Plate and Screw Fixation: With secure rigid fixation, Active Range of
Motion exercises may be initiated 1-2 days postoperatively following the
physician's recommendations.
0 - 1 week:
The postoperative dressing is removed and the patient is started on full active
range of motion exercises. This may begin immediately following surgery. The
patient is maintained in a safe position splint in between exercises.
4 weeks:
The patient is started on light resistive exercises and may return to light work
duties lifting less than 25 pounds. Electrical muscle stimulation may be used as
needed to facilitate tendon excursion as long as the surgeon believes that the
fracture is clinically healed. Splinting is discontinued at this point as well.
8 weeks:
Full activities short of sports level activities or heavy resistive activities
may begin. Sports level activities may be started at this time while in a
protective splint.
12 weeks:
Unrestricted activities are allowed.
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