MP Arthroplasty

Orthopaedic Associates of Maine

Weight-Bearing

FWB; two alternating static orthoses at all times including shower

Key Restrictions

Two orthoses alternating daily (extension splint: wrist 30° ext, MCP/IP 0°; flexion splint: wrist 30° ext, MCP 70° flex, IP 0°); hourly exercises; joint protection principles introduced at wk 4; remove for light ADLs 3-4x/day in 30-min intervals at wks 6-8; discontinue day orthosis at 10-12 wks per surgeon; night orthosis worn for 1 YEAR; maintain neutral or slight radial deviation throughout

Timeline & Phases

Day 5-7 (two alternating orthoses, hourly exercises), Wk 4 (joint protection), Wks 6-8 (remove for light ADLs 30 min intervals), Wks 10-12 (DC day orthosis per surgeon)

Notes

Night orthosis required for 1 full year postop; maintain neutral/slight radial deviation during all exercises