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Bilateral radial hemimelia at Paley European Institute - a case study

Last year at PEI, we performed a simultaneous procedure for bilateral wrist and hand reconstruction known as "ulnarization." We are very happy with Martin's result and wish him lots of smiles every day.

Rehabilitation for radial hemimelia

Rehabilitation was aimed at teaching the boy to use his hands not only for activities of daily living, but also for play. The boy learned how to grasp both large and small objects, how to support himself with his hands, and how to fall safely. With the skills he has acquired, Martin can easily play with his peers on the playground and continue his healthy development.

Bilateral hemimelia

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August 18, 2026
Rehabilitation After SEMLS Surgery—What Can the Child Expect in the Year Following the Procedure?
  What does rehabilitation look like after orthopedic surgery for a child? SEMLS (Single-Event Multilevel Surgery) allows for the simultaneous correction of several orthopedic problems in children with neurological disorders, primarily cerebral palsy. The surgery itself, however, is only one stage of treatment. Equally important is a properly planned rehabilitation program following SEMLS surgery, which helps the child regain mobility and learn […]
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Home Care After a Child's Orthopedic Surgery – A Practical Guide for Parents
A child’s return home after orthopedic surgery is an important stage of treatment. This is when parents take on a large part of the daily care—helping with mobility, personal care, administering medications, and following specialists’ recommendations. Home care following a child’s orthopedic surgery requires proper preparation, as the first few weeks after the procedure may look completely different from the family’s previous daily routine. […]
July 16, 2026
What is SEMLS surgery, and who needs it?
What is SEMLS surgery? Children with neurological conditions, such as cerebral palsy (CP), often struggle with muscle tone disorders, contractures, and musculoskeletal deformities, which over time can affect their mobility and independence. In such cases, symptomatic treatment alone may not be sufficient—a comprehensive approach is necessary that takes into account both the functioning […]