Manolikaki G, Schörle C M
Abteilung für infantile Zerebralparese, Orthopädisch-Unfallchirurgische Klinik Wichernhaus im Krankenhaus Rummelsberg, Rummelsberg 71, 90592 Schwarzenbruck.
Orthopade. 2010 Jan;39(1):53-61. doi: 10.1007/s00132-009-1537-0.
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.
尽管有多种保守治疗方法，但手术治疗在脑瘫患者上肢的跨学科治疗理念中仍占有稳固地位。与下肢相比，上肢手术治疗更具选择性，适应证范围更窄。对个体功能和/或外观损伤的分析需要差异化的治疗理念。在手术方案中，主要以软组织手术为主，大多采用多层面干预的形式。基于详细的术前评估、差异化的手术技术以及多年的手术经验，可以取得非常好的外观效果（97.6%）和良好的功能效果（68.4%）。
