Chronic Distal Biceps Repair

Chronic Distal Biceps Repair

PHASE I: Early ROM (0 to 6 weeks)

• Splint remains in place for the first 10-14 days.
• Sutures will be removed by physician in 10-14 days.
• At 10-14 days transition to hinged elbow brace.
• Initiate ROM exercises 3- 5 times per day in hinged elbow brace:
• PROM into flexion, extension, supination and pronation IN BRACE
• Week 2: brace locked from 60 to full flexion
• Week 3/4: brace locked from 40 to full flexion
• Week 5: brace locked from 20 to full flexion
• Week 6: brace unlocked full motion
• Grip ROM and strengthening exercises
• Full pro/supination allowed starting week 2 always at 90 degrees of flexion
• Notify physician if drainage from portals persists 10 days after surgery.

PHASE II: Restore Function (6-12 weeks)

• Progress active and passive ROM as tolerated.
• Initiate gentle elbow and forearm strengthening.
• No Lifting/carrying > than 5 lbs, no repetitive use

PHASE III: Return to work (>12 weeks)

• Increase strength and endurance (work specific) training