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Comparative Study
. 2010 Jun;16(2):91-5.
doi: 10.1016/j.fas.2009.06.002. Epub 2009 Aug 18.

Treatment of diabetic foot infection with hyperbaric oxygen therapy

Chin-En Chen  1 , Jih-Yang Ko, Chin-Yeng Fong, Rei-Jahn Juhn
Affiliations
Comparative Study

Treatment of diabetic foot infection with hyperbaric oxygen therapy

Chin-En Chen et al. Foot Ankle Surg. 2010 Jun.

Abstract

Background: This study was performed to evaluate the effectiveness of hyperbaric oxygen therapy (HBOT) in the treatment of the infected diabetic foot.

Methods: Forty-two patients with 44 infected diabetic feet receiving HBOT were divided into two groups. One group of 21 patients with 21 feet received <10 sessions of HBOT. The other 21 patients with 23 feet received >10 sessions of HBOT.

Results: In patients who received <10 sessions of HBOT, seven patients achieved satisfactory wound healing. Feet were preserved in 33.3%. In patients with >10 sessions of HBOT, 16 patients with 18 feet achieved good wound healing. Of these patients, 78.3% preserved their feet. This group of patients received an average of 22.8 HBOT treatments.

Conclusions: Adjunctive HBOT has a positive effect on wound healing in diabetic foot with infection. The effect of HBOT seems dose dependent because the amputation rate is decreased in patients who receive adequate HBOT.

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