DIPJ Fusion

Wrist & hand
Written By

Download this rehabilitation protocol (PDF)

For patients and physiotherapists.

Week 0-1

Aims:

  • Pain control
  • Protect Fusion
  • Allow the wound to heal
  • Maintain overall mobility including fingers

Suggested treatment:

  • Remain in dressings
  • Regular paracetamol
  • Rest

Week 1-2

Aims:

  • See hand therapy for transition into TPS – finger based leaving PIPJ free
  • General mobilisation

Suggested treatment:

  • Finger/wrist ROM
  • Removal of sutures – usually with hand therapist at 7-10 days

Week 2-6

Aims:

  • Minimal pain
  • Increased active ROM

Suggested treatment:

  • Continue with TPS; wean out at rest
  • Increasing range of motion remainder of finger
  • Scar management
  • Oedema control

Restrictions:

  • No power grasping

Some General Questions

What to expect after surgery:

  • Most patients will be discharged same day as surgery
  • After you wake up, you might notice some numbness to finger of the operated hand. This may be secondary to local anaesthetic and will wear off over 24-48 hours.
  • You will be seen by Mr Lau prior to your discharge, and post operative hand therapy will be arranged for you
  • You will be sent home with medications or a script to help with pain relief

Time in Sling:

  • You should only need to use your sling as pain and swelling dictates – usually the first 24-48 hours post op

Return to Activity

  • Work: Depends what you do. Desk based work can be done from 2 weeks post operatively, if you can do these tasks single handedly. Otherwise generally 6 weeks before you can use both hands freely whilst seated.
    For manual work, it depends on what kind of lifting/pushing you do, but generally not before 3 months
  • Drive: In Australia, you can’t drive unless you are in full control of both your arms. Therefore, whilst you’re in a sling or splint, you cannot drive. Generally 4 weeks post operatively.
  • Sports/Hobbies:
    • Gentle swimming: after 6 weeks
    • Gardening (light tasks only): 8-12 weeks
    • Bowls: after 3 months
    • Golf, tennis, badminton, squash: after 4-6 months
    • Weights: commence after 3 months

Concerns or questions?

If you have any concerns post operatively, or you would like further information, please contact Mr Lau through the VBJS on 03 5752 5020 or via email at admin@vbjs.com.au

If you need urgent medical help, call 000 or go to your nearest emergency department.

These notes have been prepared by Mr Simon Lau. They are general overviews and information aimed for use by his patients. They reflect Mr Lau’s views, opinions and recommendations. They do not constitute medical advice. The contents are provided for information and education purposes only. Please seek Mr Lau’s specific advice with any questions regarding medical conditions and treatment.

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