ORIF Olecranon Fracture

PHASE I: (WEEK 0-3)

SPLINT/BRACE

  • Post-op splint at all times for 1 week
  • Transition to hinged elbow brace locked at 90° after 1 week
  • Brace is unlocked only for ROM exercise (settings 0°-90°)
  • STRESS IMPORTANCE OF FREQUENT HOME ROM EXERCISE, AT LEAST 3-4 TIME PER DAY

ROM/THERAPEUTIC EXERCISE

  • Passive extension to 0°as tolerated
  • Active flexion to 90°as tolerated
  • Achieve full forearm supination and pronation
  • Shoulder, wrist, hand exercises encouraged
  • Edema control/Scar management
  • Apply ice after exercises
  • NO ACTIVE ELBOW EXTENSION until 6 weeks post-op

PHASE II: (WEEK 3-6)

SPLINT/BRACE

  • Hinged elbow brace at all times except exercise or hygiene
  • Unlock brace according to ROM progression
  • STRESS IMPORTANCE OF FREQUENT HOME ROM EXERCISE, AT LEAST 3-4 TIMES PER DAY

ROM/THERAPEUTIC EXERCISE

  • Passive extensionto 0° as tolerated.
  • Active/Passive flexion may be increased by 10° per week as tolerated.
  • Continue with shoulder, wrist, hand exercises.
  • NO ACTIVE ELBOW EXTENSION until 6 weeks post-op

PHASE III: (WEEK 6-6MONTHS)

SPLINT/BRACE

  • Gradually wean from brace at 8weeks from surgery
  • STRESS IMPORTANCE OF FREQUENT HOME ROM EXERCISE, AT LEAST 3-4 TIMES PER DAY UNTIL FULL

ROM/THERAPEUTIC EXERCISE

  • Begin active elbow extension gradually and progres swith strength program.
  • Continue ROM as necessary.

Related Links