Ann Rehabil Med.  2025 Oct;49(5):279-289. 10.5535/arm.250007.

Surgical Reconstruction of the Upper Extremity in Patients With Cerebral Palsy: Indication, Techniques, and Rehabilitation Considerations

• Soh EZF
• Gong HS

• KMID: 2573640
• DOI: http://doi.org/10.5535/arm.250007

Abstract

Management of upper limb deformities in patients with cerebral palsy is crucial, given its impact on activities of daily living, social interaction, and self-esteem. While medical management and rehabilitative therapy—including the use of assistive devices—remain the foundation of treatment, significant advancements have been made in surgical reconstruction techniques aimed at enhancing functional outcomes. Despite this, many eligible patients may miss the opportunity for surgical intervention due to limited awareness of appropriate indications, candidate selection criteria, and the availability of specialized expertise. This article provides an overview intended to guide pediatric rehabilitation physicians in recognizing common upper limb presentations in cerebral palsy, conducting appropriate assessments, selecting candidates, and understanding available surgical reconstructive options.

Keyword

Cerebral palsy; Upper limb reconstruction; Spasticity; Contracture