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Neuroorthopädie der oberen Extremität

„State of the art“ operativer Behandlungsverfahren

Neuro-orthopaedic approach to the upper extremity

State-of-the-art surgical procedures

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Zusammenfassung

Die operative Behandlung der oberen Extremität des zerebralparetischen Patienten hat trotz der verschiedenen konservativen Behandlungsmöglichkeiten einen festen Platz im interdisziplinären Behandlungskonzept. Sie bleibt im Vergleich zur unteren Extremität selektiv, das Indikationsspektrum ist schmäler. Die Analyse der individuellen funktionellen und/oder kosmetischen Beeinträchtigung erfordert ein differenziertes Behandlungskonzept. Im operativen Repertoire stehen vorwiegend Weichteiloperationen im Vordergrund, meistens in Form von Multileveleingriffen. Durch eine detaillierte präoperative Evaluation, eine differenzierte operative Technik und eine langjährige operative Erfahrung können sehr gute kosmetische (97,6%) und gute funktionelle (68,4%) Ergebnisse erzielt werden.

Abstract

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.

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  1. Abteilung für infantile Zerebralparese, Orthopädisch-Unfallchirurgische Klinik Wichernhaus im Krankenhaus Rummelsberg, Rummelsberg 71, 90592, Schwarzenbruck, Deutschland

    G. Manolikakis & C.M. Schörle

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  1. G. Manolikakis
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  2. C.M. Schörle
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Correspondence to G. Manolikakis.

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Manolikakis, G., Schörle, C. Neuroorthopädie der oberen Extremität. Orthopäde 39, 53–61 (2010). https://doi.org/10.1007/s00132-009-1537-0

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