ORIF Wrist Fracture Rehabilitation Protocol
PHASE I: Surgery to first post-op appt.
Weight Bearing
- NWB on the operative extremity
Splint/Brace
- On at all times
ROM
- Digital ROM: Focus on making a full fist and full extension of the digits
- No wrist ROM
PHASE II: First post-op appt. to post-op week 6.
Weight Bearing
- NWB on the operative extremity
Splint/Brace
- Transition to wrist immobilization brace
ROM
- Continue digital ROM
- AROM and PROM as tolerated for flexion, extension, pronation, supination
PHASE III: Post-op week 6+.
Weight Bearing
- WBAT on the operative extremity
Splint/Brace
- Wean out of brace over 2-4 weeks
ROM
- Full AROM and PROM
- May begin strengthening as needed