Dupuytrens Contracture Fasciotomy (Closed Technique) Protocol
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Dupuytrens Fasciotomy (Closed) Protocol
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Post Op Exercises for Duputrens Fasciotomy (Closed) Protocol
- 3-5 days post op –
- Follow Dr. Instructions.
- If there is a drain present, make sure you know when the Dr wants it removed if you don’t hear anything 24-48 hours after the procedure.
- You will be fitted with a pan splint to keep the fingers straight into extension.
- Perform AROM and PROM exercises 6 times a day for 10 minute sessions for the wrist and digits.
- Include blocking exercises for the PIP and DIP
- Follow Dr. Instructions.
- 7-10 Days Post op
- If having trouble with regaining active flexion, contact your doctor about utilizing NMES (neuromuscular electrical stimulation). They should be able to advise you on a unit you can use at home.
- 10-14 Days post op
- Sutures should be removed at this timeframe
- 48 hrs after suture removal, begin gentle scar tissue massage.
- Keep using resting hand splint to promote extension.
- Utilize a compression glove for edema or swelling.
- Heavy focus on not only flexion, but extension as well!
- 6 Weeks Post op
- Begin gentle progressive strengthening with putty or hand exerciser.
- Continue with hand splint at night and 3-4 times a day for 1 hour sessions.
- 10-12 Weeks post op
- Night time splint wear only. Continue for 6-9 months post op.
Weeks 0-5
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