Effects of hyperbaric oxygen therapy on perfusion parameters and transcutaneous oxygen measurements in patients with intramedullary nailed tibial shaft fractures

摘要: Lindstrom T, Gullichsen E, Lertola K, Niinikoski J. Effects of hyperbaric oxygen therapy on perfusion parameters and transcutaneous measurements in patients with intramedullary nailed tibial shaft fractures. Undersea Hyper Med 1998; 25(2):87-91.-We evaluated the effect (HBO 2 ) tibialis posterior (TPA), dorsalis pedis (DPA), sum (TPA+DPA) arterial peak signals, as well (Ptc O2) tension leg skin temperature (T) after nailing Twenty consecutive closed simple fractures treated reamed were assigned randomly to HBO or control groups. was given postoperatively at 2.5 atm abs pressure for 90 min daily a total five treatments. The first 1 h operation. In both groups, performed preoperatively, 30 6 postoperatively, following 5 days. There statistically significant improvement TPA values legs treatment group postoperative day, these remained significantly higher level until end study when compared group. Further, there Ptc O2 third treatment. However, no differences DPA TPA+DPA within between seemed decrease legs, but this alteration not significant. addition clearly documented advantages management crush injuries compartment syndromes, has positive parameter (TPA) low energy, may result from vasoconstrictive edema reductive concomitant inhibition inflammatory reactions slight cooling.