Patrick Olson, M.D. & M. Daniel Hatch, M.D.

Distal Biceps Repair Post-Operative Protocol

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Day 0-14
  • Keep splint clean, dry and in place until follow-up
    • May wear sling, in addition to splint, if more comfortable
  • No lifting greater than 1-2 pounds
    • May do self-care activities as well as light duty work such as typing and writing
  • Make a fist 5 times an hour while awake; finger motion (full extension and flexion) is important for all fingers.
  • Keep hand elevated above the level of your heart
Follow-up Visit
(day 10-14)
  • Placed in a hinged elbow brace to be worn full time (may remove for showers; take care to avoid forceful extension).
  • The brace will have an extension lock at 50 degrees and no restriction for flexion
  • No lifting against resistance (greater than 1-2 pounds)
  • Range of motion; wrist, hand and active shoulder motion in all planes
  • Stitches are absorbable
    • A clear tag of the absorbable stitch may be sticking out of the skin. Snip the tag of the stich close to your skin.
  • May get steri-strips wet, but may not soak (bath tub, swimming, hot tub, etc.); pat area dry with clean towel.
    • Once steri-strips fall off and incision site is fully healed, water activity is unrestricted
Week 3
  • Hinged elbow brace worn full time; extension lock at 40 degrees
  • No lifting against resistance (greater than 1-2 pounds)
Week 4
  • Hinged elbow brace worn full time; extension lock at 30 degrees
  • No lifting against resistance (greater than 1-2 pounds)
Week 5
  • Hinged elbow brace worn full time; extension lock at 20 degrees
  • No lifting against resistance (greater than 1-2 pounds)
Week 6
Follow-up Visit
  • Hinged elbow brace worn full time; extension lock at 10 degrees
  • No lifting against resistance (greater than 1-2 pounds)
  • Hinged elbow brace removed at follow-up visit
Week 7-12
  • Range of motion as tolerated
  • No lifting against resistance (greater than 1-2 pounds)
3 Months
Follow-up Visit
  • Gradual strengthening program starting at 5 lbs.
    • Progress 5 lbs. every 2 weeks until you reach full strength
  • Return to activity as tolerated

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