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The application of frozen and radiation sterilized allogenic bone grafts for reconstructions in orthopaedic operations is described. Analysis of results of treatment of 1125 patients was performed. It was found that use of preserved bone allows to reduce the extend and duration of surgery. Nearly total substitution of grafts may be seen in 3 to 8 months after surgery.

The results are presented of the study of the effectiveness of non-steroid anti-inflammatory drugs (Apranax, Voltaren) on the basis of observation of 60 patients in a double blind trial after knee joint arthroscopic operations. The administration of Apranax 550 or Voltaren 50 within the period of 10 days after the operation decreased significantly the incidence of inflammatory reactions. Apranax 550 was acting more rapidly and more effectively in elimination of clinical signs and symptoms of inflammation, and the patients were not reporting any adverse effects.

In 20 children with tibial and femoral bones deformities due to hypophosphatemic rickets a corrective osteotomy/osteoclasis at 2 or 4 sites was performed. Both preoperative and postoperative pharmacological treatment was introduced. Good results were achieved in 13 cases, satisfactory an 4 and bad in 3 cases.

Functional treatment of fractures is a nonoperative technique used in intraarticular knee fractures and multifragment and multilevel fractures of the shaft of femurs since 1974. The basic principle of this technique is placement of the fractured extremity in the specially designed rehabilitation splint, with skeletal traction fixed above the ankle joint through both tibia and fibula. Traction reduces the fracture while stretching of muscles provides conditions favorable for callus formation. Exercises are first isometric and then isotonic. During exercises, muscle tone and moments of force in each muscle group are measured to evaluate effects of exercises. Exercises in traction and rehabilitation splints are continued until clinical signs of healing are observed (i.e., for six to eight weeks with intraarticular knee fractures and ten to 12 weeks with fractures of the shaft of femur). Alternative flexion of bone fragments with their compression by the contracted muscles facilitate absorption of hemorrhage, reduces swelling, and accelerates osteogenesis by replacing passive-tissue congestion with the active-tissue metabolism. Seven hundred fifty-seven intraarticular knee fractures with 76% excellent and good results, 20% average, and 4% poor were observed with this treatment. Functional treatment was also used in 320 multifragment and multilevel fractures of the shaft of femurs, with approximately 81% excellent and good results, 17% average, and 2% poor. Functional treatment of fractures is simple and safe, promotes healing, prevents muscle atrophy, reduces contracture formation, and minimizes functional loss.