Postoperative Care
If TFCC debridement alone is performed, the patient is placed in a well-padded volar short-arm splint for 2 wk. If a peripheral repair is performed, the traditional protocol is for placement in a well-molded sugar-tong splint, with the forearm in neutral rotation for 2 wk followed by placement of a Muenster cast for an additional 4 wk. However, we have accelerated rehabilitation using the described technique above to involve a short-arm splint for only 2 wk. This accelerated protocol was supported by the increased biomechanical strength of the FasT-Fix repair. If a radial TFCC repair is performed, the patient is placed in a sugar-tong splint for 2 wk followed by a Muenster cast for an additional 4 wk. Once the period of immobilization is complete, hand therapy for range of motion and progressive strengthening is begun. Full activity is anticipated at 3–4 mo.