Foot and Ankle Surgery
Volume 16, Issue 2 , Pages 91-95, June 2010

Treatment of diabetic foot infection with hyperbaric oxygen therapy

  • Chin-En Chen, MD

      Affiliations

    • Department of Orthopedic Surgery, Golden Hospital, 12-2, Minsheng E. Rd., Pingtung City 900, Taiwan, ROC
    • Corresponding Author InformationCorresponding author. Tel.: +886 8 7223000; fax: +886 8 7216032.
    • ,
  • Jih-Yang Ko, MD

      Affiliations

    • Department of Orthopedic Surgery, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, Taiwan, ROC
    • ,
  • Chin-Yeng Fong, MD

      Affiliations

    • Department of Orthopedic Surgery, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, Taiwan, ROC
    • ,
  • Rei-Jahn Juhn, MD

      Affiliations

    • Department of Orthopedic Surgery, Golden Hospital, 12-2, Minsheng E. Rd., Pingtung City 900, Taiwan, ROC

Received 10 January 2009; received in revised form 19 May 2009; accepted 18 June 2009. published online 19 August 2009.

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.

Keywords: Hyperbaric oxygen therapy, Diabetic foot ulcer, Diabetes mellitus, Infection, Amputation

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PII: S1268-7731(09)00075-7

doi:10.1016/j.fas.2009.06.002

Foot and Ankle Surgery
Volume 16, Issue 2 , Pages 91-95, June 2010

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