[Neuro-orthopaedic approach to the upper extremity: state-of-the-art surgical procedure].

The operative treatment of the upper extremity of cerebral palsy patients has despite the different conservative possibilities a firm place in the interdisciplinary treatment concept. It remains in comparison to the lower extremity selective, and the spectrum of indications is narrower. The analysis of the individual functional and/or cosmetic impairment requires a differentiated treatment concept. In the operative repertoire there are predominantly soft tissue operations in the foreground, mostly in the form of multilevel interventions. Based on a detailed preoperative evaluation, differentiated surgical techniques, and many years of surgical experience very good cosmetic (97.6%) and good functional (68.4%) results can be achieved.