{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,13]],"date-time":"2026-11-13T00:37:39Z","timestamp":1794530259403,"version":"4.9.1"},"reference-count":23,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T00:00:00Z","timestamp":1762819200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T00:00:00Z","timestamp":1762819200000},"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":"Foundation for Pediatric Research","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100005744","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Vappu Uusp\u00e4\u00e4 foundation"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hand Surg Eur Vol"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>We studied long-term outcomes of radialization and free vascularized second metatarsophalangeal joint transfer for radial longitudinal deficiency using patient-reported and objective outcome measures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      Patients aged \u2a7e10\u2009years with Bayne and Klug type III or IV radial longitudinal deficiencies were identified from national referral centres. Patients treated by radialization (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200915 limbs) and metatarsophalangeal joint transfer (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200917 limbs) were assessed after a median follow-up of 13\u2009years.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The respective scores after metatarsophalangeal joint transfer and radialization were: median Disabilities of Arm, Shoulder, and Hand scores 19 (95% CI: 7 to 25) and 19 (16 to 29); patient-rated wrist evaluation scores 11 (95% CI: 8 to 22) and 24 (95% CI: 10 to 38); and satisfaction with cosmesis 5 (95% CI: 3 to 6) and 8 (95% CI: 7 to 10). Median wrist active range of motion values were 90\u00b0 (95% CI: 70 to 90) and 50\u00b0 (95% CI: 30 to 60) and median wrist deviations were 20\u00b0 (95% CI: 15 to 30) and 30\u00b0 (95% CI: 15 to 60) after joint transfer and radialization, respectively. Secondary wrist procedures were more frequent in the joint transfer group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Both techniques yield good functional outcomes. Joint transfer produced a more consistent and larger range of active wrist extension\u2013flexion but with poorer cosmetic results than radialization.<\/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\/17531934251391119","type":"journal-article","created":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T11:15:10Z","timestamp":1762859710000},"page":"472-479","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Radial longitudinal deficiency: long-term outcomes of radialization and vascularized metatarsophalangeal joint transfer"],"prefix":"10.1177","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-9257-7326","authenticated-orcid":false,"given":"Niko","family":"K\u00e4mpp\u00e4","sequence":"first","affiliation":[{"name":"Department of Hand Surgery, HUS Helsinki University Hospital, Hyvink\u00e4\u00e4 Hospital, and University of Helsinki, Helsinki, Finland"},{"name":"Department of Paediatric Orthopaedics and Traumatology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Petra","family":"Grahn","sequence":"additional","affiliation":[{"name":"Department of Paediatric Orthopaedics and Traumatology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pasi","family":"Paavilainen","sequence":"additional","affiliation":[{"name":"Pihlajalinna Hospital, Tampere, 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 Orthopaedics and Traumatology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland"},{"name":"Department of Pediatric Surgery, Kuopio University Hospital, University of Eastern Finland, Kuopio, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jarkko","family":"Jokihaara","sequence":"additional","affiliation":[{"name":"Division of Musculoskeletal Diseases, Tampere University Hospital, Tampere, Finland"},{"name":"Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,11,11]]},"reference":[{"key":"e_1_3_2_2_1","article-title":"DASH-kyselykaavakkeen suomentaminen ja kulttuuriadaptaatio","volume":"32","author":"Aro H","year":"2009","unstructured":"Aro H, Hacklin E, Madanat R, Stranberg N. 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