Controversy: Splinting for Dupuytren Contracture

Chapter

Abstract

The application of a splint as a conservative treatment may have a beneficial effect in Dupuytren contracture, but as a postoperative intervention, it has become routine despite a lack of evidence. By resisting the contracture, it should help extend the finger and may help patients feel they can control their disease for which there is no cure. However, recent randomised studies of postoperative night splinting in addition to hand therapy have shown no significant benefit and possibly even a worse result. Thus, the application of a splint in Dupuytren disease remains controversial, and we present opposite views to allow better understanding of the debate.

Keywords

Splinting Night splint Preventive splinting Evidence for splinting 

References

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Copyright information

© Springer International Publishing Switzerland 2017

Authors and Affiliations

  • Adrian Chojnowski
    • 1
  • Wolfgang Wach
    • 2
  • Ilse Degreef
    • 3
  1. 1.Department of Orthopaedics and TraumaNorfolk and Norwich University NHS TrustNorwichUK
  2. 2.International Dupuytren SocietyÜberseeGermany
  3. 3.Hand Unit, Orthopaedic DepartmentLeuven University HospitalsLeuvenBelgium

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