The causes of congenital deformities can be divided conveniently into genetic, environmental, and unknown causes. A minority of congenital anomalies have a single major environmental or genetic cause.

The classification proposed by Swanson has been adopted by the American Society for Surgery of the Hand (ASSH) and the International Federation of Societies for Surgery of the Hand (IFSSH).

  • Type I - Failure of formation
  • Type II - Failure of differentiation
  • Type III - Duplication
  • Type IV - Overgrowth
  • Type V - Undergrowth
  • Type VI - Constriction band syndromes
  • Type VII - Generalized anomalies and syndromes

Each child with a hand difference is unique, and the approach to treatment is based on the child’s individual needs. The main goal and benefit of treatment is to improve the child’s ability to function with the difference. Another aim is to improve the appearance of the hand and support the child’s self-esteem.

Keep in mind that treatment cannot "cure" a hand difference, but it can help to improve function and appearance of the hand.

Early surgery is defined as that performed within the first 2 years of life. Advantages include the full potential for growth, development, and patterns of use; improved scarring; early incorporation of the reconstructed part; and reduced psychologic affect. Disadvantages of early surgery are increased technical difficulty and possible increased anaesthetic risk.

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* Patient consent was obtained for publication of figures



Our patients says…

I feel the need to say in public a very big thanks to the man first of all, and doctor Antonis Vassiliadis !! He managed a damaged hand with the ulnar nerve completely cut, with a terrible general injury to make it fully functional.

Doctor, thank you !! God bless you.
(I would put some photos, before and after, but I do not know if it is right. However, there are and are available to anyone interested in the miracle of the doctor !!)

Source: Facebook
The best orthopedic hand limb in the country! It has saved me personally and many friends I sent them! Thank you for being there, Mr. Vassiliadis!

Source: Facebook

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