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From Late Middle Englishfetlen(“(verb) to bestow; to fix, prepare, put in place; to prepare (oneself) for battle, gird up; to shape; to be about to, or to ready (oneself) to stay; (adjective) shaped (well or poorly)”), and then possibly:
1979 August, P. R. G. Kennard, “Polish Steam Panorama”, in Railway World, page 421:
These strong 2-8-2s […] appeared in good fettle, especially those shedded at Lublin and several arrivals and departures were photographed in the fine evening light.
Outside of dialects, this noun is a fossil, found only in the phrase in fine fettle; but the verb and the corresponding gerund remain in common use in British English (for example, "this will need a bit of fettling to get sorted").
Todd's Geordie Words and Phrases, George Todd, Newcastle, 1977
Frank Graham (1987) The New Geordie Dictionary, →ISBN
A List of words and phrases in everyday use by the natives of Hetton-le-Hole in the County of Durham, F.M.T.Palgrave, English Dialect Society vol.74, 1896,