정형외과 영역에서의 고압 산소 요법 = Hyperbaric Oxygen Therapy In Orthopaedic Field

다국어 초록 (Multilingual Abstract)

Objectives : Hyperbaric oxygen(HBO) therapy has been used to treat CO poisoning and decompression sickness, and at now it contains domains of general surgery, plastic surgery，otorhinolaryngology. In orthopaedic field, it can also be used in many disorder through the effe功 of increasing oxygen tension of tissue, vasoconstriction and bacteriocidal effect. Authors attempted to evaluate the effect of hyperbaric oxygen therapy in the orthpaedic field.








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Methods : Authors have analyzed clinical outcome of total 79 cases (crushing injuries, flap surgeries，chronic osteomyelitis, diabetic foot，postoperative ischemic wound, atherosclerosis & Buergers* * disease, infection wound, compartment syndrome) in orthpaedic field treated by hyperbaric oxygen therapy in Kosin Medical College Gospel Hospital from May，1998 to December, 2005.








Patients of crushing injuries, flap surgeries，chronic osteomyelitis, diabetic foot, postoperative ischemic wound, atherosclerosis & Buergers' disease, compartment syndrome received HBO therapy in 2.0 ATA per 80 minutes a day， and patients of infection wound received HBO therapy in 2,8 ATA per 104 minutes a day.








Results : Crushing injuries，flap surgeries, chronic osteomyelitis, diabetic foot，postoperative ischemic wound, atherosclerosis & Buergers' disease, infection wound, compartment syndrome were treated by hyperbaric oxygen therapy and received averagely 1L5 times. Transient tinnitus was observed as a side effect in one case.








Conclusion : Hyperbaric oxygen therapy can be applied to many cases of orthopaedic surgery，especially in ischemic change, swelling and infections as an adjuvant therapy, However it required double blind test with the control group to evaluate the objective outcome.