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Tendon transfers in cerebral palsy: art or science?

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SAGE PUBLICATIONS LTD
DOI: 10.1177/17531934231210380

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Tendon transfers are commonly used to improve upper limb function in cerebral palsy patients. However, the unique challenges posed by poor volitional control and spasticity make it more of an art than science. Surgical outcomes can be uncertain and even worsened in certain circumstances. This presentation explores the rationale behind tendon transfers for cerebral palsy patients and the philosophical approach to treatment.
Tendon transfers in cerebral palsy are commonly described as a method to improve function in the upper limb. The field can be considered by some to be more of an art than science due to the unique challenges involved, which include poor volitional control and spasticity. Surgical outcomes can be uncertain and, in certain circumstances, worsened. This presentation looks at the rationale behind tendon transfers for patients with cerebral palsy and the application of this rationale (science vs. art) to a philosophy of treatment.

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