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WRIST DISTAL RADIUS FRACTURE POST-OPERATIVE …

Copyright 2019-2021 by Hospital for Special Surgery. All rights reserved. Page 1 of 9 WRIST DISTAL RADIUS FRACTURE POST-OPERATIVE GUIDELINES The following POST-OPERATIVE DISTAL RADIUS FRACTURE guidelines were developed by HSS Rehabilitation. Progression is both criteria-based and patient specific. Phases and time frames are designed to give the clinician a general sense of progression. The rehabilitation program following open reduction internal plate fixation emphasizes early, controlled motion to prevent stiffness and to avoid disuse atrophy of musculature. The program should balance management of prior deficits, tissue healing and appropriate interventions to maximize flexibility, strength, and pain-free performance of functional activities. This model should not replace clinical judgment. Follow surgeon modifications as prescribed. Copyright 2019-2021 by Hospital for Special Surgery. All rights reserved. Page 2 of 9 WRIST DISTAL RADIUS FRACTURE POST-OPERATIVE GUIDELINES Phase 1: Protective (Weeks 0-2) PRECAUTIONS Observe non-weight bearing status Avoid tight grasping, lifting, carrying, pushing, pulling No passive range of motion (PROM) of WRIST and forearm Avoid sharp increase in pain during exercises Be alert for signs and symptoms of the following and report to surgeon if present o Complex regional pain syndrome (CRPS) o Infection o Pain over FRACTURE site(s) with digit motion.

o Strengthening exercises for digits/wrist/forearm when fracture healed and surgeon permits o Closed kinetic chain exercises (e.g., wall push-ups, putty flatten) o Proprioception training , as appropriate • Functional use o Continue functional activities in clinic according to patient specific goals, especially if ...

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