Postoperative Management

The patient started active range of motion within 48 hours with a removable splint in the intrinsic-plus position including the MP joints in 70 degrees of flexion. Edema control was encouraged with elevation and compressive dressings to the digits and hand. Passive motion was initiated 2 weeks postoperatively to improve active flexion at the MP joints. Wound massage was performed to diminish adhesions to the extensor tendons. Splinting was discontinued at 6 weeks, and strengthening was encouraged. At final follow-up examination, the patient had full range of motion without pain or deformity.

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