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KMID : 0896720020060010035
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Journal of the Korean Society of Foot Surgery
2002 Volume.6 No. 1 p.35 ~ p.39
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THE EFFECT OF HYPERBARIC OXYGEN THERAPY IN TREATMENT OF DIABETIC FOOT ULCER
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Park Tae-Woo
Kim Beom-Su
Cho Sung-Do
Leu Suk-Woo
Kim Moon-Chan
Cho Young-Sun
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Abstract
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The purpose of this study was to evaluate the effect of hyperbaric oxygen therapy(HBOT) and the result amputation rate in the treatment of diabetic foot ulcer.
Materials 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 Wanger 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 matatarsophalangeal 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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KEYWORD
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Diabetic foot, Hyperbaric oxygen therapy
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