{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T14:47:44Z","timestamp":1781016464743,"version":"3.54.1"},"reference-count":30,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2018,11,19]],"date-time":"2018-11-19T00:00:00Z","timestamp":1542585600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100011797","name":"Turku University Hospital","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100011797","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100022793","name":"Turku University Foundation","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100022793","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Scand J Surg"],"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background and Aims:<\/jats:title>\n                    <jats:p>There are no population-based studies about hospital admissions and need for surgical treatment of congenital lower-limb deficiencies. The aim is to assess the impact children with lower-limb deficiencies pose to national hospital level health-care system.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>A population-based study was conducted using the national Register of Congenital Malformations and Care Register for Health Care. All 185 live births with lower-limb deficiency (1993\u20132008) were included. Data on hospital care were collected until 31 December 2009 and compared to data on the whole pediatric population (0.9\u2009million) live born in 1993\u22122008.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The whole pediatric population had annually on average 0.10 hospital admissions and the mean length of in-patient care of 0.3\u2009days per child. The respective figures were 1.5 and 5.6 in terminal lower-limb amputations (n\u2009=\u20097), 1.1 and 3.9 in long-bone deficiencies (n\u2009=\u200953), 0.6 and 1.9 in foot deficiencies (n\u2009=\u200926) and 0.4 and 2.6 in toe deficiencies (n\u2009=\u2009101). Orthopedic surgery was performed in 72% (5\/7) of patients with terminal amputations, in 62% (33\/53) of patients with long bone, in 58% (14\/24) of patients with foot and in 25% (25\/101) of patients in toe deficiencies. Half (54%) of all procedures were orthopedic operations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In congenital lower-limb deficiencies the need of hospital care and the number of orthopedic procedures is multiple-fold compared to whole pediatric population. The burden to the patient and to the families is markedly increased, especially in children with terminal amputations and long-bone deficiencies of lower limbs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1457496918812233","type":"journal-article","created":{"date-parts":[[2018,11,20]],"date-time":"2018-11-20T01:35:52Z","timestamp":1542677752000},"page":"352-360","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Hospital admissions and surgical treatment of children with lower-limb deficiency in Finland"],"prefix":"10.1177","volume":"108","author":[{"given":"J.","family":"Syv\u00e4nen","sequence":"first","affiliation":[{"name":"Department of Paediatric Orthopaedic Surgery, Turku University Hospital, Turku, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I.","family":"Helenius","sequence":"additional","affiliation":[{"name":"Department of Paediatric Orthopaedic 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