Phase 1: First 14 Days After Surgery
• Immobilization in a motion brace.
• Only finger movements and slow movements are allowed exclusively within the brace.
• The wound should remain covered with the waterproof dressing until the wound check (10 to 14 days after surgery).
• Strictly no weight-bearing on the operated arm.
• Pain medication should be taken as prescribed. If no pain is present, the patient may discontinue medication independently.
• Cold packs can be applied immediately postoperatively, but the brace must not be removed.
Phase 2: Week 3 to Week 6 Postoperatively
• After suture removal and removal of the dressing, increased range of motion exercises are now allowed.
• The brace must still be worn consistently.
• No weight-bearing on the operated arm!
• Patients should actively practice elbow extension and flexion.
• Physical therapy should be initiated and followed according to the physiotherapy protocol.
• Important: Range of motion exercises must be performed daily by the patient.
Phase 3: Seventh to Twelfth Postoperative Week
• Range of motion exercises can now be performed independently without the brace.
• When leaving the home, the brace should still be worn for another six weeks.
• Still no weight-bearing allowed!
• The brace may be removed at home.
• Valgus and varus stress (side loading of the elbow) must be avoided – explanation by the physical therapist or P.D. Dr. Florian Grubhofer.
Phase 4: From 12 Weeks Postoperatively
• Full range of motion is now allowed without the brace.
• Gradual weight-bearing may begin (3–5 kg).
• Valgus and varus stress should still be avoided.
Phase 5: From 16 Weeks Postoperatively
• Full weight-bearing is allowed, including valgus and varus stress.
• Contact sports may be resumed.