[Kinesitherapy in the early postoperative period following intramedullary osteosynthesis of tibial fractures].

A program of postoperative kinesitherapy oriented to normalize the muscular force of the shin, reduce the time needed to restore the weight-bearing function of the affected leg, and treat pain syndrome has been developed for the patients presenting with fractures, nonunions, and pseudoarthrosis of the tibia that were treated using intramedullary osteosynthesis. The efficacy of the program was evaluated in terms of restoration of the muscular force in the shin and improvement of microcirculation in the affected region.

[Specific features with of intramedullary osteosynthesis with blocking in fractures of the shin bones at different levels].

The results of closed intramedullary osteosynthesis with blocking were analyzed in 180 patients with open (in 22) and closed (in 158 patients) fractures of shin bones fulfilled within the period from 3 days to 3.5 months after trauma. In 16 patients the intramedullary canal was drilled out.

[Surgical treatment of extension contractures of the knee joint after femoral fractures complicated by osteomyelitis].

An experience with the treatment of 26 patients has shown high efficiency of open mobilization of the knee-joint in extension contractures following fractures of the femoral bone complicated by osteomyelitis. Extended scarry degeneration of certain muscles is not thought to be a contraindication for operation provided the intact muscle heads are sufficiently trained. The aggravation of osteomyelitis in part of the patients at late terms did not deteriorate favorable functional outcome of the mobilizing operation.