The postoperative dressing is removed. A Short Arm Thumb Spica cast is applied.
The patient is instructed in thumb IP and finger Active Range of Motion and Passive Range of Motion
The cast is removed, and sutures are removed. The patient is placed in a short arm thumb spica (either a thermoplastic splint or cast).
Cast is removed and the patient is placed in a hand-based thumb spica splint.
Active and gentle Passive Range of Motion exercises are initiated to the wrist and thumb 15 min/hr.
A Thumb Web Spacer splint is applied to be worn between exercises and at night as needed for protection.
Taping and/or Dynamic flexion splinting may be initiated as needed to increase Passive Range of Motion.
Graded thenar strength building is started.
Daytime splinting is discontinued.
10 - 12 weeks:
Normal use may be resumed without restrictions. Nighttime splinting is discontinued unless first web space adduction contracture is noted.
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