Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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THE EFFECT OF HYPERBARIC OXYGEN THERAPY IN TREATMENT OF DIABETIC FOOT ULCER

당뇨병성 족부 병변에 있어 고압 산소 치료의 효과

  • Park, Tae-Woo (Department of Orthopaedic Surgery, Ulsan University Hospital, College of Medicine, University of Ulsan) ;
  • Cho, Sung-Do (Department of Orthopaedic Surgery, Ulsan University Hospital, College of Medicine, University of Ulsan) ;
  • Cho, Young-Sun (Department of Orthopaedic Surgery, Ulsan University Hospital, College of Medicine, University of Ulsan) ;
  • Kim, Bum-Soo (Department of Orthopaedic Surgery, Ulsan University Hospital, College of Medicine, University of Ulsan) ;
  • Lew, Sog-U (Department of Orthopaedic Surgery, Ulsan University Hospital, College of Medicine, University of Ulsan) ;
  • Kim, Moon-Chan (Department of Orthopaedic Surgery, Ulsan University Hospital, College of Medicine, University of Ulsan)
  • 박태우 (울산대학교 의과대학 울산대학교병원 정형외과학 교실) ;
  • 조성도 (울산대학교 의과대학 울산대학교병원 정형외과학 교실) ;
  • 조용선 (울산대학교 의과대학 울산대학교병원 정형외과학 교실) ;
  • 김범수 (울산대학교 의과대학 울산대학교병원 정형외과학 교실) ;
  • 류석우 (울산대학교 의과대학 울산대학교병원 정형외과학 교실) ;
  • 김문찬 (울산대학교 의과대학 울산대학교병원 정형외과학 교실)
  • Published : 2002.06.01
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Abstract

Purpose: The purpose of this study was to evaluate the effect of hyperbaric oxygen therapy(HBOT) and the resultant amputation rate in the treatment of diabetic foot ulcer. Material and methods: From 2000 Jan. to 2002 April, thirty two diabetic foot patients were admitted for treatment of foot ulcers and infection. Of the thirty two cases, thirteen patients received HBOT and nineteen did not. The results were analyzed by amputation rate and healing time. All were classified according to the Wagner classification. Results: Of the HBOT treated group, three(23%) patients underwent amputation: two below knee and one metatarsophalangeal disarticulations. Of the non-treated group, eleven(58%) patients underwent amputation, : four below knee and seven metatarsophalangeal disarticulations. The healing times, based on hospital days were average 16, 38, 43 days in the HBOT treated group and average 20, 50, 35 days in the non treated group respectively in Wagner grade II, III, IV. Conclusions: HBOT might be effective in decreasing amputation rate and hospital stay in diabetic patients with severe foot ulcers.

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