The general instructions on physical activities and load bearing by the hand surgeons and hand therapists were to avoid pronation and supination in the first 5 to 6 weeks following surgery and to avoid forceful lifting in the first 7 to 13 weeks following surgery (Table E1, available online on the Journal’s website at www.jhandsurg.org). During daily practice, the hand surgeons’ and hand therapists’ instructions were tailored to the patient based on radiographic signs and the patient’s symptoms. In the