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 2005) was used. For data gathering, we used electronic database and Persian-and English-language specific journals between

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... 90 and January 2019. The keywords were related to examine the effect of various splinting after Dupuytren's contracture operation. Results: After data gathering, 26 articles about Dupuytren's contracture were found; after checking and deep reviewing of those articles, 17 articles were removed from the study and 9 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 6 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 3 months, too. Highlights • The most effective way for the treatment of Dupuytren's contracture is to use splint after the operation. • Exercise with the splinting effect is ineffective in reducing the contracture. • Night static splints are effective in improving the range of motion and performance of their hands of Dupuytren's contracture. Plain Language Summary Dupuytren's contracture is a controversial problem with orthopedics and rehabilitation. It is commonly used in surgical procedures, splint administration, and rehabilitation exercises. Considering the experience and studies of rehabilitation specialists, simultaneously, these methods have a more favorable outcome in improving hand function. Surgical technique, type of exercise, and how to use the splint are very important. According to the results of this study, splinting with postoperative exercises was more effective in surgical outcomes. Of course, the duration of using the splint, how to use it overnight or daily, and the length of use of the splint for better treatment results should be addressed to therapists. I ranian R ehabilitation Journal