After a short introduction, a definition of the nature of the osteoplastic treatment is given, in which the bone grafting assures not only a bonesubstitution, but it is the motive factor for the treatment of the osteomyelitis.
The author gives a discussion on the problems of indications, properties of the bone-bed, structure and methods of conservation of the graft, the immunological problems, methods of application, the dynamics of the graft's reorganization and the results. He proposes a scale for the properties of the bed-recipient. Osteoplastic treatment of the osteomyelitis is developed by the author in a large plan of different surgical-operative methods. A clinical material of 602 patients is included for analysis and discussion. Criteria for the clinical material are as follows: age, localization, morphology, infection and method of conservation are given. The author starts using allografting to replace the donor's damage, when the auto-bone is taken. There are any complications after 285 such substitutions. The results are analysed in connection with the complications, typical of the bone grafting add of the diseases of the grafts respectively. On other hand the results are analysed in connection with the age of the patient, nature and structure of the graft and the type of operation. The reoperations are analysed separately. In 436 patients with haematogenic osteomyelitis the reoperations are 58, and in 166 patients with traumatic purulent ostitis they are 34. With the osteoplastic treatment of the haematogenic osteomyelitis the curability is 86 per cent, and in the traumatic purulent ostitis is 79 per cent. After the reoperations these percentages ware corrected to 97 for the haematogenic osteomyelitis and 98 per cent for the traumatic purulent ostitis, respectively. The author introduces a new scale for the stages of reorganization of the graft, including 6 stages with good correspondation to the conditions of the osteomyelitis.