Comparative evaluation of treatment results was performed for 122 patients, aged 1.5 - 18 years, with planovalgus foot deformity. Complex treatment included surgical intervention (modification of foot reconstruction by Kummer-Kouel-Ramsey, subtalar joint arthroereisis and two step combined technique) in combination with the method of functional biomanagment. Results were assessed at terms from 6 months to 4 years basing on the data of objective instrumental examinations (computed podography, roentgenography, electromyography) and the data on the international AOFAS system. It was stated that conservative treatment ensured stabilization of the condition and increase of mean point by AOFAS scale made up 5.82. In the same time complex treatment contributed to the restoration of osteoarticular interrelation and ensured functional competence. Mean estimate by AOFAS scale increased by 29.48 pointsin that group of patients. Positive results of complex anatomo-functional approach to the treatment of children withplanovalgus deformity enable to consider the proposed technique as a prospective one.

Experience in treatment of limb contractures and deformities in children with congenital arthrogryposis is presented. The main principles of treatment were detected. Complex of diagnostic and curative measures including conservative treatment of patients stating from birth is described in details. Conservative treatment consists of therapeutic exercises, massage, physiotherapy, special braces and plaster bandages. Surgical treatment method using external fixation devices is presented. The method of biocontrol disturbance detection is given and the use of functional biocontrol (FBC) method for the treatment of this pathology is well grounded. Early results of FBC use are evaluated as positive ones that confirms the expedience of further use of FBC for the treatment of patients with congenital arthrogryposis.

The attempt of the objective evaluation of contracture stability using BIODEX System device was undertaken. A serues of tests waas performed to obtain the parameters defining the contracture. Twenty patients with knee contracture resulted from patella fracture (2), ligaments injury (8), after surgery on the ligamento-capsular system of the knee joint (10) were examined. The suggested method allows to obtain highly precise information on contracture flexibility and thus enables to assess more objectively the rehabilitation potential as well as the efficacy of the conservative treatment.

Complex study of motor skills in children with congenital club foot was performed at CITO laboratory of clinical physiology and biomechanics, and clinic of pediatric orthopaedics. Subjects for electrophysiological and biomechanical examination were 34 patients with congenital unilateral club foot (19 boys and 15 girls) aged from 3 to 16 years. Intact extremity indices were used for comparison. Study in open biokinematic contour mode on the affected side showed decrease in voluntary bioelectric activity of anterior tibial muscle by 34-60% and gastrocnemius muscle by 7-19%. Spectrum analysis of EMG and computed mechanography showed the decrease of tonic fibers activity in peroneal muscles of the lower leg with its increase in posterior group of muscles. Stabilometry and study of gate parameters on the affected side showed synergetic type of anterior and posterior muscles interaction with preservation of antagonistic type in the normal extremity. Suprasegmentary pattern of affection (lesion) was detected by method of stimulation electromyography. The data obtained confirm the influence of pathologic motor skill on the development of deformity recurrences at surgical treatment of children with congenital club foot.