TFCC Surgery Recovery: Week-by-Week Rehabilitation Protocol

Recovery from triangular fibrocartilage complex (TFCC) repair follows a structured progression. Timelines assume arthroscopic debridement/repair; open procedures may be slower.

Phase 1: Protection (Weeks 0–2)

• Splint/cast immobilization (wrist neutral, forearm neutral)
• Pain control, elevation, ice
• Finger/elbow/shoulder AROM only
• No wrist motion or loading

Phase 2: Early Motion (Weeks 2–4)

• Removable orthosis for protected ROM
• Gentle passive/active-assist wrist ROM (flex/ext, radial/ulnar deviation)
• Isometric strengthening (no resistance through ROM)
• Light ADLs (eating, hygiene) with orthosis

Phase 3: Strengthening (Weeks 4–8)

• Progressive AROM → full ROM expected by week 6–8
• Initiate progressive resistance: putty, theraband, light weights
• Proprioception drills (weight-bearing on stable/unstable surfaces)
• Functional tasks: typing, light household, driving (if cleared)

Phase 4: Advanced Conditioning (Weeks 8–12+)

• Sport/work-specific simulation
• Plyometrics, heavy gripping, impact loading
• Return to full duty/sport per surgeon/therapist clearance

Variables Affecting Timeline

• Tear type (1A–1D, 2A–2E) and chronicity
• Concomitant procedures (ulnar shortening, DRUJ stabilization)
• Patient age, smoking, compliance, therapy access

Close surgeon-therapist communication ensures appropriate progression.