Immobilization Protocol for Sagittal Band Repair

Adjacent Joint Management

• The American Academy of Orthopaedic Surgeons recommends allowing immediate active motion of the PIP and DIP joints to prevent finger stiffness, which is one of the most functionally disabling complications and can require extensive therapy 1, 2

Splint Type and Construction

• A rigid dorsal or volar splint should be padded to cushion the repair site, and the splint should be comfortably tight but allows a finger to be slipped underneath to prevent circulatory compromise, as recommended by the American Heart Association, based on guidelines from Circulation 3

Monitoring During Immobilization

• Patients should be instructed to watch for blue or extremely pale discoloration of the finger, which indicates a medical emergency requiring immediate evaluation, and apply cold therapy for 15-20 minutes several times daily during the first week to reduce pain and swelling, as recommended by the American Heart Association, based on guidelines from Circulation 3
• The American Academy of Orthopaedic Surgeons recommends ensuring patients perform active PIP and DIP range of motion exercises multiple times daily to prevent stiffness 1, 2