CMC Arthroplasty Rehabilitation Protocols
5 CMC Arthroplasty rehabilitation protocols from 4 institutions, published 2017. Weight-bearing progressions vary by institution — compare them in the table below before selecting a protocol.
Compare by institution
| Institution | Weight-Bearing | Key Restrictions |
|---|---|---|
| Lahey Hospital & Medical Center — Ligament Reconstruction… | N/A | Cast (thumb in palmar abduction, MP 10-20 deg flexion, wrist neutral) until 4-6 wks; splint at all times 4-7… |
| Orthopaedic Associates of Maine — APL Suspension | FWB; short arm thumb spica splint from 2 wks | Post-op dressing 0-2 wks; thumb spica splint from 2 wks (except showering); no lifting until 6 wks; therapy… |
| University of Virginia Orthopaedic Surgery — Thumb CMC… | NWB surgical UE | No lifting/pushing/pulling; grip/pinch with minimal to no resistance; orthosis protection; cast 2-3 weeks… |
| University of Virginia Orthopaedic Surgery — Thumb CMC… | NWB surgical UE | No lifting/pushing/pulling; grip/pinch with minimal to no resistance; orthosis protection for functional… |
| UW Health Orthopedic Surgery; UnityPoint Health - Meriter… | NWB surgical UE | No resistive gripping or pinching; no lifting >1 lb Phase I; no resistive pinch/grip until 8 wks post-op |
All 5 CMC Arthroplasty protocols
CMC Arthroplasty — Ligament Reconstruction Tendon Interposition (LRTI) — Thumb CMC Arthroplasty
Lahey Hospital & Medical Center
CMC Arthroplasty — APL Suspension
Orthopaedic Associates of Maine
CMC Arthroplasty — Thumb CMC Arthroplasty — Suspensionplasty
University of Virginia Orthopaedic Surgery
CMC Arthroplasty — Thumb CMC Arthroplasty — LRTI
University of Virginia Orthopaedic Surgery
CMC Arthroplasty — Thumb CMC Arthroplasty
UW Health Orthopedic Surgery; UnityPoint Health - Meriter Rehabilitation