At the Hand Therapy Unit, Mount Vernon Hospital, Middlesex we have been rehabilitating patients after metacarpophangeal joint arthroplasty using a dynamic extension splint for many years. Over the last five years the therapists along with one of our consultants have developed a protocol to replace the use of dynamic splints with two static splints. This paper presents our protocol within a case study format. Our clinical experience using this protocol has been very favourable.
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