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The authors studied long-term (from 2 to 9 years) results of treatment of 178 children with intra- and periarticular localization of fractures of the upper extremities. The age of the children was from 4 to 15. It has been established that the further development of the injured joint is dependent on the character of the primary displacement, exact arrangement of fragments and correct terms of immobilization being of certain significance for the consolidation and further restoration of the anatomical integrity of the bone and for the joint functioning.

The authors analyse the treatment of 153 children aged 4.5-15 who were performed 213 tendon- and myoplasties for persistent lesions of the peripheral nerves. The peculiarities of rehabilitative therapy in this category of patients are described. Three groups of muscles used for grafting and requiring special approach during the rehabilitation period have been distinguished. The rehabilitative treatment is divided into three periods: preoperative preparation, working out of the new function and securing of the new motor act. The peculiarities of the rehabilitative treatment in each period have been substantiated.