Michael Metcalf, M.D. / M. Daniel Hatch, M.D.

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Phase 1

Week 0—1

1. Full time use of Post-Operative Splint

Week 2—6

1. IROM hinge brace
• Begin with 50° Extension lock
• Decrease 10° per week
2. Wrist and hand ROM
3. Active shoulder motion in all planes
4. No Resistance/Lifting
5. No Active Biceps

Phase 2

Weeks 7—12

1. 1) Begin Physical Therapy
• Active Elbow ROM
• Active Forearm ROM
• Manual therapy
2. No Resistance exercises unless approved by Dr. Metcalf
3. Initiate independent home motion
4. Home exercise program – Active Elbow & Forearm ROM: Daily 2-3x/day

Phase 3

Week 13

1. Advance to full active motion (all planes)
2. Transition to Independent Home Exercise Program
• Stretching Daily
• Strength 3x/Week