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Treatment of diabetic foot complications with hyperbaric oxygen therapy: A retrospective experience
Institution:1. Department of Angiology and Vascular Surgery, Hospital do Divino Espírito Santo EPE, Ponta Delgada, Portugal;2. Subaquatic and Hyperbaric Medicine Unit, Hospital do Divino Espírito Santo EPE, Ponta Delgada, Portugal;1. Department of Orthopedics, Yildirim Beyazit University, Faculty of Medicine, Ataturk Training and Research Hospital, Ankara, Turkey;2. Department of Anatomy, Ankara University, School of Medicine, Ankara, Turkey;3. Department of Mechanical Engineering, Middle East Technical University, Ankara, Turkey;4. Department of Radiology, Yildirim Beyazit University, Faculty of Medicine, Ataturk Training and Research Hospital, Ankara, Turkey;5. Pediatric Neurosurgery Children''s Hospital, Birmingham, AL, USA;1. Department of Orthopaedics, Centro Hospitalar do Porto – Hospital de Santo António, Largo Prof. Abel Salazar, 4099-001 Porto, Portugal;2. Department of Orthopaedics, Clinica del Remei, Calle Escorial, 148, 08024 Barcelona, Spain;3. Department of Anatomy and Human Embriology, Faculty of Medicine – University of Barcelona, Calle Casanova, 143, 08038 Barcelona, Spain;4. Department of Orthopaedics, Instituto CUF – Porto, Rua Fonte das Sete Bicas, 170, 4460-188 Senhora da Hora, Portugal;5. Faculty of Health Sciences, Universidade Fernando Pessoa, Rua Carlos da Maia, 296, 4200-150 Porto, Portugal
Abstract:BackgroundThe aim of this study is to evaluate the role of hyperbaric oxygen in the treatment of diabetic foot ulcers.MethodsWe performed a retrospective observational study of all patients with diabetic foot ulcers treated at the Institution's hyperbaric chamber between January 2010 and August 2012. Patient data was obtained upon patient hospital visit and prospective clinical record consultation.ResultsTwenty-six foot lesions including 13 foot ulcers Wagner grade 2 or greater and 13 amputation stump ulcers were submitted to hyperbaric oxygen therapy between January 2010 and August 2012 in our Institution. Of these, 23 foot lesions completed treatment and complete epithelialization of the primary lesion was achieved in 15 (65%). The mean healing period since the first hyperbaric oxygen therapy session was 16 weeks. Above-ankle amputations were performed in 3 limbs and transmetatarsal amputations in 2 limbs.ConclusionHyperbaric oxygen may be associated with ulcer healing in selected diabetic foot ulcers with impaired cicatrization.
Keywords:Hyperbaric oxygen therapy  Diabetic foot ulcer  Amputation  Infection
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