title: Treatment of diabetic foot infection with hyperbaric oxygen therapy.
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.
authors.affiliation: Department of Orthopedic Surgery, Golden Hospital, 12-2, Minsheng E. Rd., Pingtung City 900, Taiwan, ROC. chinenmd@ms21.hinet.net
authors.forename: Chin-En
authors.initials: CE
authors.lastname: Chen
authors.forename: Jih-Yang
authors.initials: JY
authors.lastname: Ko
authors.forename: Chin-Yeng
authors.initials: CY
authors.lastname: Fong
authors.forename: Rei-Jahn
authors.initials: RJ
authors.lastname: Juhn
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D017719:Diabetic Foot / Q000150:complications* / Q000628:therapy; D005260:Female; D006801:Humans; D006931:Hyperbaric Oxygenation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome; D014945:Wound Healing; D014946:Wound Infection / Q000209:etiology / Q000628:therapy*