by Jason Boyer, M.D.
Immediate postoperative period (weeks 1 to 6)
Immediately After Surgery
You will be placed in a posterior splint to immobilize your elbow at 90 degrees.
This splint will remain in place for the first 5-7 days (until your first post-op visit) unless otherwise directed.
First Post-Op Visit
The splint will be removed and exchanged for a hinged brace.
This brace should be worn at all times until otherwise directed (usually week 6-8).
Your brace will be locked and you will be instructed how to change the settings for therapy.
You will begin physical therapy for ROM (range of motion) in a progressive manner.
Hinged Brace ROM Progression
Week 2 - Active extension to 30° and full passive elbow flexion, passive pronation/supination locked at 90°.*
Week 3 - Active extension to 15° and full passive elbow flexion, active pronation, passive supination at 90°.*
Week 4 - Active extension to 0° and full passive elbow flexion, active pronation, assisted supination.**
Week 5 - Active extension to 0° and begin gentle active flexion, active supination as tolerated.**
Weeks 6 and 7 - Begin progressive strengthening with 1 kg weights if full active ROM is achieved.
Week 8 - Full ROM of elbow; discontinue brace if adequate motor control.
*During Weeks 2 and 3, lock the hinge at 90° and loosen the forearm strap for supination and pronation exercises.
**During week 4 and 5, perform pronation/supination exercises with hinge free until 30°.
Full activity without restriction permitted at week 12 if all above criteria are met.
OrthoWashington in Kirkland, WA is a premiere orthopedic practice and surgery center with surgeons and doctors serving patients in the greater Bellevue and Seattle areas.
Disclaimer: The information contained herein is compiled from a variety of sources. It may not be complete or timely. It does not cover all diseases, physical conditions, ailments or treatments. The information should NOT be used in place of visit with your healthcare provider, nor should you disregard the advice of your health care provider because of any information you read in this website.
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