About this trial
We are running a small study to test whether a special type of therapy - including casting, stretching, and massage - might help improve recovery after Dupuytren's Fasciectomy.
The study is taking place at Dorset County Hospital and will involve people who are already scheduled for surgery and have a permanent bend of 30 degrees or more in the middle joint of one or more fingers.
The therapy will be given before surgery to see if it helps people get a better result afterwards.
We want to find out:
* Who would be suitable to take part in a future, larger study * Which results are most important to measure (like finger movement or grip strength) * How many people complete the full therapy and follow-up We'll also speak to patients and healthcare professionals to understand how acceptable and practical this therapy is.
The goal is to see whether it's possible and worthwhile to run a larger study in the future, to find out if pre-surgery therapy can become a helpful part of treatment for people undergoing Dupuytren's Fasciectomy.
Eligibility criteria
Qualifiers
Male or female participants aged 18 years or older.
One or more fingers with a Dupuytren's flexion contracture greater than 30° at the PIP joint.
Awaiting fasciectomy surgery for Dupuytren's contracture.
Willing and able to provide informed consent for participation in the study.
Disqualifiers
Individuals awaiting needle fasciotomy, dermofasciectomy, or segmental fasciectomy.
A history of previous treatment for Dupuytren's contracture (e.g., surgery, collagenase injection, or needle fasciectomy) to the study reference digit.
A history of any other pre-existing hand disorder causing significant movement restriction, pain, or affecting hand function (e.g., post-traumatic stiffness, arthritis, infection).
Non-English speaking participants due to the need for completing multiple questionnaires that have not been validated in multiple languages.
Trial design
Treatments tested in this trial
- Preoperative casting intervention
Treatment groups
Sponsors and collaborators
Bournemouth University
Lead sponsor
Dorset County Hospital NHS Foundation Trust
Collaborator