Surgery of the upper limbs in spastic patients is not well developped yet. We participate actively in its development through several projects:

- dedicated internships for junior hand, orthopedic and plastic surgeons at l’Institut de la Main (Paris, France)
- clinical assistance to colleague surgeons (visits and surgery) : Italy, Spain, Germany, and during Humanitarian missions (Brazil, Colombia)
- dedicated one day meetings at various rehabilitation centers: France, Italy, UK, Ireland
- lectures, workshops, instructional courses during scientific meetings
 -information to rehabilitation centers
- scientific publications in national and international scientific journals –see curiculum