{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T00:02:56Z","timestamp":1777852976575,"version":"3.51.4"},"reference-count":24,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2022,11,30]],"date-time":"2022-11-30T00:00:00Z","timestamp":1669766400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hand Surg Eur Vol"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:p>We assessed the appearance and cosmetic impact of surgery in congenitally different hands in Finland. A questionnaire was sent to 1165 respondents (786 female) with a mean age of 33 years (range 3\u201384). Participants were shown nine image pairs and seven pairs of pre- and postoperative images twice in a random order and asked to choose the more cosmetically pleasing one. We found that the appearance and number of fingers had an important aesthetic role, with higher number and more normal appearing digits consistently scoring higher than its counterpart (range 59\u201399%). Postoperative appearances were perceived as better than preoperative ones in syndactyly (98%), thumb duplication (92%), cleft hand (93%) and radial dysplasia (99%). Toe transfer and pollicization had little impact on cosmesis. This study demonstrated that surgery could improve cosmesis in congenitally different hands and overall, most respondents prefer an appearance that is as close as possible to normality. Level of evidence: IV<\/jats:p>","DOI":"10.1177\/17531934221139698","type":"journal-article","created":{"date-parts":[[2022,11,30]],"date-time":"2022-11-30T05:33:37Z","timestamp":1669786417000},"page":"333-340","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Factors affecting hand cosmesis and the aesthetic impact of surgery on congenital hand differences in Finland"],"prefix":"10.1177","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1415-1091","authenticated-orcid":false,"given":"Noora N.","family":"Nietosvaara","sequence":"first","affiliation":[{"name":"Department of Pediatric Orthopedics and Traumatology, University of Helsinki and Helsinki University Hospital, Finland"},{"name":"Department of Surgery, Central Hospital of South Karelia, Lappeenranta, Finland"},{"name":"Department of Pediatric Surgery, Kuopio University Hospital, University of Eastern Finland, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antti J.","family":"Sommarhem","sequence":"additional","affiliation":[{"name":"Department of Surgery, Central Hospital of South Karelia, Lappeenranta, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antti","family":"Stenroos","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, University of Helsinki and Helsinki University Hospital, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aarno Y.","family":"Nietosvaara","sequence":"additional","affiliation":[{"name":"Department of Pediatric Orthopedics and Traumatology, University of Helsinki and Helsinki University Hospital, Finland"},{"name":"Department of Pediatric Surgery, Kuopio University Hospital, University of Eastern Finland, 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