The Effect of Splinting After Dupuytren’s Contracture Operation: A Systematic Review

Objectives: Flexion contracture in fingers of hands is a complication of Dupuytren’s contracture and cannot be stopped by the progressive course. The aim of this study was to review the effect of splinting in the correction of contracture after Dupuytren’s contracture operation. Methods: To carry out this research, a kind of systematic evidence-based review process (Duffy ۲۰۰۵) was used. For data gathering, we used electronic database and Persian- and English-language specific journals between ۱۹۹۰ and January ۲۰۱۹. The keywords were related to examine the effect of various splinting after Dupuytren’s contracture operation. Results: After data gathering, ۲۶ articles about Dupuytren’s contracture were found; after checking and deep reviewing of those articles, ۱۷ articles were removed from the study and ۹ articles were included in the study for reviewing. The results of a review article based on using splint in Dupuytren’s contracture after operation were classified into ۶ categories, including static splint, dynamic splint, day splint, night splint, the time duration of splinting, and prescribed time of splinting. Discussion: Splint alone has been ineffective in reducing contracture. Static splint and hand therapy (exercise) are together the most effective way for the treatment of Dupuytren’s contracture. Occasional and irregular use of splint also has no effect on pain relief and the reduction of contracture. The pressure and force of splint will be gradually increased, and the splint should be used at least for ۳ months, too.

Keywords:

Dupuytren’s contracture , Hand therapy , Occupational therapy , Splints , Operative