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

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.