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Olecranon Fracture Fixation

PHASE I: Early ROM & Protect Fixation (0 to 6 weeks)

  • Splint and postop dressing remains in place for the first 2 weeks.
  • Hinged Elbow Brace worn at all times (after the initial dressing removed)
  • Initiate elbow exercise program 5 times per day:
    • Passive and active elbow ROM to 90 degrees of flexion
    • Increase flexion 10 degrees each week in HEP
    • Avoid active extension
  • Grip and wrist/hand AROM immediately.
  • Perform supination ROM only with the elbow flexed to 90 degrees.
  • Phase II: Full ROM and function (>6 weeks)

    • Advance ROM:
      • Full elbow and forearm ROM out of HEB
      • Initiate elbow and forearm strengthening.
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