The submitted paper summarizes longstanding experience of the authors with the diagnosis and comprehensive treatment of children and adults with osteochondrodysplasias, i.e. bone dysplasias. During less than five year’s existence of the Ambulant centre for defects of locomotor apparatus in Prague the authors diagnosed 35 nosological units in a group of 216 patients with bone dysplasias. For the majority of the mentioned patients they ensure therapeutic and preventive care, comprehensive treatment (paediatric, orthotic-prosthetic, orthopedic and surgi- cal) as well as rehabilitation - in collaboration with the rehabilitation department of the hospital and policlinic in Kostelec, and also genetic counselling. In individual comprehensive care (from birth to death) participates a team of specialists. An essential factor is collaboration with the family where birth of an affected child frequently has a profound impact on the psychic and social position in the family. The objective of comprehensive treatment is to prepare the child for a dignified, reasonable and happy life and to integrate him in society as a valuable subject with a satisfactory social background.

        Key words: osteochondrodysplasias, diagnosis of bone dysplasias, surgical treatment, orthotic fitting, genetic counselling