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An optimized therapeutic rehabilitation program involved 393 patients with fractured long bones (humeral, radial/ulnar, femoral, crural) admitted to the Orthopedic Department of the Stavropol Regional Children's Clinical Hospital and the Rehabilitation Centre for Handicapped Children and Adolescents. Rehabilitation was performed in three consecutive stages, viz. immobilization, functional recovery and training. The proposed approach ensured rather fast functional recovery of the affected extremity even in cases with compound fractures. The rehabilitation program included polyenzyme therapy with wobenzym during 3-4 weeks after injury or surgical repositioning of bone fragments. Pain and oedema syndromes resolved twice as fast as after traditional treatment. The use of this program permitted to avoid development of contracture and disturbances of locomotary activity; moreover, it improved the quality of life in children with fractures of long tubular bones.

In the article is summarized experience of early functional treatment of children with extension trans-condyle fractures of humerus proposed by the authors. The proposed method allows to achieve complete restoration of the damaged elbow joint function in 40 +/- 2 days after the fracture reposition and to obtain excellent functional results with 85% of patients.

Under observation were 27 patients, treated during the period of 1969-1973, with fractures of the brachial diaphysis and injury of the radial nerve. These patients showed temporary impairment of the radial nerve conductivity: in 21 cases immediately after the trauma, in 6--after operative intervention on the bone. Along with the treatment using orthopedo-surgical methods the complex of rehabilitation measures was employed. A special attention is given to labour therapy.

Medical rehabilitation was fulfilled in 75 patients with intra-articular fractures of the distal metaepiphysis of the shoulder bone. The authors came to the conclusion that the main methods of treatment of fresh intra-articular fractures of the distal metaepiphysis of the shoulder bone consisted in conservative measures (a single reposition, skeletal extension and compression-distractional osteosynthesis). In cases of the open reposition followed by osteosynthesis a sparing technique of surgical intervention should be used.

The article presents results of the restorative surgical treatment given to 74 invalids with non-fixed fractures and false joints of the humeral bone. The differential choice of various surgical techniques resulted in a fracture fixation, restoration of the extremity function and working capacity in 66 patients.