{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T18:59:38Z","timestamp":1787165978959,"version":"build-2736575974"},"reference-count":31,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T00:00:00Z","timestamp":1761091200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T00:00:00Z","timestamp":1761091200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100005744","name":"lastentautien tutkimuss\u00e4\u00e4ti\u00f6","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005744","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hand Surg Eur Vol"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>We assessed the long-term quality of life, cosmesis and pain after childhood syndactyly separation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective review identified 155 patients (\u2a7e10-year follow-up) of whom 76 participated with a median follow-up period of 18.2 years (IQR 12.4 to 38.3). Patient-reported outcomes were assessed using the Quick Disabilities of the Arm, Shoulder, and Hand questionnaire, EuroQol-5 Dimension-5 Level, and visual analogue scales (0\u201310) for function, cosmesis and pain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Uncomplicated cases had significantly better patient reported outcomes (0 vs. 11.4 and 1.0 vs. 0.89;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.01), and higher functional scores (9.0 vs. 7.0,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.05) and cosmetic scores (8.2 vs. 7.0,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &gt; 0.05). Complicated cases presented with more cold intolerance (58 vs. 14%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.01). Pain scores were similar in both groups, with 16\u201318% reporting some pain in the past week.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Syndactyly reconstruction yields satisfactory subjective long-term outcomes. Complicated cases had poorer function and more cold sensitivity but remained overall favorable.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of evidence:<\/jats:title>\n                    <jats:p>IV<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17531934251380997","type":"journal-article","created":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T10:52:13Z","timestamp":1761130333000},"page":"202-208","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Long-term patient reported outcomes and quality of life after syndactyly separation"],"prefix":"10.1177","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1415-1091","authenticated-orcid":false,"given":"Noora","family":"Nietosvaara","sequence":"first","affiliation":[{"name":"Department of Orthopedics and Traumatology, Helsinki University Hospital, University of Eastern Finland, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niko","family":"K\u00e4mpp\u00e4","sequence":"additional","affiliation":[{"name":"Department of Hand Surgery, Helsinki University Hospital and University of Helsinki, Finland"},{"name":"Department of Paediatric Orthopedics and Traumatology, New Children\u2019s Hospital, Helsinki University Hospital, University of Helsinki, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2220-8008","authenticated-orcid":false,"given":"Yrj\u00e4n\u00e4","family":"Nietosvaara","sequence":"additional","affiliation":[{"name":"Department of Paediatric Orthopedics and Traumatology, New Children\u2019s Hospital, Helsinki University Hospital, University of Helsinki, Finland"},{"name":"Department of Paediatric Surgery, Kuopio University Hospital, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Petra","family":"Grahn","sequence":"additional","affiliation":[{"name":"Department of Paediatric Orthopedics and Traumatology, New Children\u2019s Hospital, Helsinki University Hospital, University of Helsinki, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,10,22]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/1753193414523247"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/17531934251334359"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0036-1593478"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-195612000-00005"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200401000-00006"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/hec.3564"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000007639"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2010.07.007"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/pzae033"},{"key":"e_1_3_2_11_1","doi-asserted-by":"publisher","DOI":"10.1053\/jhsu.2001.26121"},{"key":"e_1_3_2_12_1","article-title":"New simple technique for syndactyly release","volume":"14","author":"Grahn PM","year":"2020","unstructured":"Grahn PM, Nietosvaara NN, Sommarhem AJ, Nietosvaara YA. 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