![]() ![]() Scar management initiated after suture removalĪctive-assisted extension initiated in dynamic splint Initiate AROM hourly within splint to PIP and DIP. ![]() If hyperextension exists, add PIP extension block at 30°.įabricate hand-based (originally forearm-based) volar static extension gutter splint with PIP in slight flexion, worn at night. Initiate active flexion and passive extension hourly using goniometer to MCP/PIP/DIP.įabricate hand-based clamshell dynamic PIP extension splint allowing 30° arc with precaution not to hyperextend implant, worn during the day and gradually adjusting to allow for 45° by 3wk postoperation. If hyperextension exists, fit in a dorsal blocking splint with PIP at 30° worn during the day. Gradually adjust goniometer or cardboard template to allow for a 30° arc initially and progress to 45° by 3wk postoperation. Fabricate hand-based volar static extension gutter splint with PIP in slight flexion, worn between exercises during the day and at night.
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