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

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