Total Elbow Arthroplasty – Triceps Off

Phase 1: Early ROM (0 to 6 weeks)

• Soft postop dressing remains in place for the first week.
• Staples will be removed by surgeon in 14 days.
• Extension night splint is to be worn at night.
• Initiate elbow exercise program 5 times per day:

  AAROM and PROM into flexion, extension, supination and pronation

  • NO resisted triceps extension
  • NO passive elbow flexion >90

  Grip ROM and strengthening exercises

• Notify physician if wound drainage persists 10 days after surgery.

Phase II: Restore function (>6 weeks)

• Advance active and passive ROM as tolerated.
• Initiate gentle elbow strengthening.
• Discontinue night splint.

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