Clavicle fracture orif protocol (dr. PDF Rehabilitation Guidelines for Clavicle Fracture S/P Orif Clavicle Fracture (Broken Collarbone) A broken collarbone is also known as a clavicle fracture. PDF ORIF CLAVICLE PROTOCOL - South Bend Orthopaedic Associates Arthroscopic Labral Repair and Open Capsular Shift Protocol. 1 Grant H Garcia, MD 2409 North 45th Street, Seattle, WA 98103 Wallingford: 206-633-8100 Ballard: 206-784-8833 CLAVICLE OPEN REDUCTION INTERAL FIXATION PT No submersion for 4 weeks. Materials and Methods: The randomized trial was conducted between December 2017 and July 2019 at a tertiary trauma center on 50 consecutive patients with displaced mid-shaft clavicle fracture. Our goal is minimize ongoing pain, restore function, and allow our patients to return to activity as early as Clavicle ORIF Rehab Protocol Keys to a Successful Outcome Brace should be worn for the first 3 weeks at all times. Progression through each phase of rehab is based on clinical criteria and time frames as appropriate. This should be filled and ready for use when you return home from surgery. The protocol is divided into phases. Your postoperative recovery will take several months. Surgery to fix a broken Clavicle: Fixation or ORIF (Open Reduction Internal Fixation): In this surgery, the skin is cut and the collarbone is repositioned to back to where it should be and then held in position with screws and a plate. Late reconstruction of nonunion and malunion after displaced midshaft fractures of the clavicle is a reliable and reproducible procedure that results in restoration of objective muscle strength similar to that seen with immediate fixation; however, there are subtle decreases in endurance strength and outcome compared with acute fracture repair. Scapular control exercises. Day 14-41 Post-op • No formal PT for first 2 weeks post-op • ROM: o PROM/AAROM/AROM in all planes per pt. . place a LCP or precontoured plate on the anterior aspect of the clavicle. fixation satisfactory for mobilisation). Cl avi cl e O RI F P ro to co l Mi chael Chi u, MD I l l i noi s B one and Joi nt I nst i t ut e P hone: (847)870-6100 F ax: (847)870-8159 Day 1 - 3 weeks CLAVICLE OPEN REDUCTION INTERNAL FIXATION Rehab Protocol OkorohaPA@gmail.com Secretary 313-651-1926 Henry Ford Health System 690 Amsterdam St., Detroit MI 48202 Ph: 313-972-4216 www.KelechiOkorohaMD.com 14500 Hall Rd., Sterling Hgts. The inclusion criteria for the study cohort comprised patients with an age between 18 and 75 years having sustained an acute displaced fracture of the clavicle (delay of trauma-repair <14 days . 2-6 Weeks Post Op. 6-8 Weeks Post-op • ROM: Continue ROM with goal of full AROM in all planes without pain • Strength: Begin gentle strengthening if there is good ROM o Rockwoods Shoulder exercises for clavicle fracture rehabilitation protocol. Open reduction and internal fixation (ORIF) is a type of surgery used to stabilize and heal a broken bone. Post Op Instructions: ORIF (Open Reduction and Internal Fixation) Clavicle Fracture You have undergone open reduction and internal fixation of your fractured clavicle. You might need this procedure to treat your broken collarbone (clavicle). Modalities as needed. Clavicle ORIF Protocol. CLAVICLE FRACTURE REHABILITATION PROTOCOL RANGE OF MOTION IMMOBILIZER EXERCISES PHASE I 0-6 weeks 0-4 weeks: None 4-6 weeks: begin PROM Limit flexion to 90°, external rotation to 45°, extension to 20° 0-4 weeks: Immobilized at all times day and night Off for hygiene and gentle exercise only 0-4 weeks: elbow/wrist ROM, grip The purpose of the current study was to evaluate the efficacy of an immediate motion protocol following plate fixation of a midshaft clavicle . Post-Operative Rehabilitation following ORIF Clavicle Fracture A broken collarbone is also known as a clavicle fracture. CLAVICLE FRACTURE ORIF PT PROTOCOL BRACE INSTRUCTIONS AND RESTRICTIONS RANGE OF MOTION GOALS PT EXERCISES/NOTES PHASE 1 First 6 Weeks (0-6) 1 Session/week or once every other week Begin after 2 weeks - Sling x 6 weeks full time during the day except hygiene Conexa Graft Rotator Cuff Repair. Fractures of the middle third (or mid-shaft) account for approximately 80% of all clavicle fractures. . Fractures of the clavicle are common injuries that occur across all age groups but are most frequently seen in the young, active patient population. : 713-486-7543 / Fx. Sling for comfort. Clavicle ORIF 1 6 7 9 13 17 21 25 PROM The intent of this protocol is to provide guidelines for progression of rehab. Distal Clavicle Fracture: Open Treatment and Internal Fixation Post-Operative Rehabilitation Protocol Illinois Bone & Joint Institute ***Note:''Fracture'healinggenerallytakes'6 :8weeks.''Surgical'fixation'of'distal'clavicle' Clavicle ORIF Specific PT Protocol Created Date: 9/30/2015 5:40:34 PM . 1. Indications: Proximal Humeral Fractures; Clavicle fractures ; Scapula / Glenoid fractures; This protocol is based on maintaining range of movement in the first phase and then gradually building strength in the middle to the last phase. Elbow/wrist ROM and strengthening. General Instructions: Begin PT post-op day #1. Klein sm, badman bl, keating cj, devinney ds, frankle ma, mighell ma. Children's Healthcare of Atlanta ORIF vs. Non-op Methods • All pts 10-18 yrs, 2013-2018, 8 centers (n=909) - Completely displaced, ≥ 2 yrs, adequate PRO's = 151 pts 1. • Passive ROM: flexion and abduction to 90°, ER as tolerated with elbow at side, IR to 45° with elbow away from side in supine • Exercises: Continue with sling until six weeks. Clavicle Fracture: Postoperative Protocol Do not elevate surgical arm above 120° in any plane for the first 4 weeks postop. Our goal is minimize ongoing pain, restore function, and allow our patients to return to activity as early as possible. It is by no means intended to serve as a substitute for clinical decision making. The clavicle can be easily partially remove the origins of the deltoid and the pectoralis major. Postural education Restrictions/Exercise Progression ! May get incisions wet after POD #3. However, the postoperative rehabilitation and timeline for a complete functional recovery are poorly documented. You might need this procedure to treat your broken collarbone (clavicle). 38-5). Week 0-2: • ROM: ° PROM-in all planes to patient's tolerance ° Codman Exercises • Sling: Wear at all times except during PT appointments. . Clavicle fracture, also called broken collarbone, is a very common sports injury seen in people who are involved in contact sports such as football and martial arts as well as impact sports such as cycling and motor racing. Download Tibial Plateau ORIF Rehab Protocol Tibial Plateau ORIF Protocol 0-6 Weeks Post Op Non weight bearing x 6 weeks Brace 0-90° (unlocked) for 6 weeks (unless otherwise specified) Pain/edema control, modalities as needed Knee PROM and AAROM to 90 degrees Quad strengthening to gain full Diagnosis: s/p ( LEFT / RIGHT ) ORIF Clavicle Fracture -- Surgery Date: _____ Phase I (0 to 6 weeks) Goals: Protect the surgical repair Ensure wound healing Prevent shoulder stiffness Regain range of motion Control pain and swelling Activities: Sling: Use your sling most of the time for the first two weeks. Among the different types of clavicle fractures, those occurring in the middle third of the clavicular shaft are the most common. It is by no means intended to serve as a substitute for clinical decision making. Clavicle Fracture Open Reduction and Internal Fixation GENERAL Your surgery was performed over an incision on the top of your collar bone (Clavicle). Background: The present study was to evaluate the clinical effectiveness of the protection of the supraclavicular nerve in the treatment of clavicle fracture using fracture reduction and percutaneous external locking plate fixation or open reduction and internal fixation (ORIF).Methods: A total of 27 patients suffered clavicle fracture and underwent fracture reduction and external or internal . Clavicle fractures account for around 4% of all fractures and up to 44% of fractures of the shoulder girdle. Of the immediate motion protocol following plate fixation of a midshaft clavicle fracture case to compare functional recovery between number and nonunion cases. Clavicle ORIF 1 6 7 9 13 17 21 25 PROM The intent of this protocol is to provide guidelines for progression of rehab. Management of this group of fractures is . Clavicle ORIF Outpatient Protocol/Guidelines Surgeon must specify on the referral any specific requests or deviations that fall outside the scope of this protocol. (i.e. Management of this group of fractures is . Prepare the fracture site. No submersion for 4 weeks. Hydrotherapy permitted. Procedure: Clavicle Fracture ORIF Ø Pain Medication: You will be given a prescription for pain medication for after surgery. 3. It is not intended to be a substitute for one's clinical decisionmaking. Arthroscopic Bankart Repair. Sutures will dissolve on their own. However, the postoperative rehabilitation and timeline for a complete functional recovery are poorly documented. Ice shoulder 3-5 times (15 minutes each time) per day to control swelling and inflammation. Anatomy The collarbone (clavicle) is located between the ribcage (sternum) and the shoulder blade (scapula), and it connects the arm to the body. Clavicle ORIF (Rockwood Pin / Hook Plate) In-Patient • Confirm from op notes patient to follow protocol. Week 0-2: • ROM: ° PROM-in all planes to patient's tolerance ° Codman Exercises • Sling: Wear at all times except during PT appointments. 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