Preoperative Serial Casting, Education, and Therapy for Dupuytren's Contracture

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorBournemouth University

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

20 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Bournemouth University

Lead sponsor

Dorset County Hospital NHS Foundation Trust

Collaborator