Sports injuries, fracture repair, osteoporosis,…..one of the most common cosequences in more or less every orthopedic indication is a serious damage and reduction in microcirculation. Oxygen level in damaged area is predominantly very low. HBOT is believed to compliment the debridement process by improving oxygenation at the fracture site. This promotes revascularization and improves other host factors such as white blood cell oxidative killing, fibroblastic proliferation and osteoclastic activity. The osteoclast is known to be very oxygen dependent cell. HBOT appears to stimulate osteoclast function. The osteoclasts then become effective in clearing residual infected, non-viable bone whereas they were unable to do so in the hypoxic environment. Moreover, increasing the oxygen tension in hypoxic areas promotes synthesis of collagen, proliferation of fibroblasts and capillary angiogenesis.
- Sports Injuries
- Fracture repair, delayed and non-healing
- Inflammatory arthritis
- Post surgical instability
- Sacroiliac Syndrome
- Bone Grafts
Hyperbaric oxygen treatment involves intermittent inhalation of 100% oxygen at greater than atmospheric pressure. This treatment is administered in a hyperbaric chamber, which is compressed with air, while the patient breathes oxygen at ambient pressure through a mask. Inspiration of oxygen at high pressure increases the amount of oxygen dissolved in the plasma in direct proportion to the rise in ambient pressure. In such conditions, the plasma oxygen content increases from 0.32 volume percent to 4.8 to 5.76 volume percent. This high dissolved oxygen concentration improves oxygen delivery to bone tissue, reduces marrow edema, and thereby reduces intraosseous pressure, improving venous drainage and microcirculation. By flooding the extracellular fluid with diffused oxygen, the oxygen becomes available to the ischemic bone cells without the need for circulating hemoglobin.
Official studies confirmed highly positive results of adjuvant hyperbaric oxygen therapy, due to increased oxygenation and consequently edema reduction, minimized infections and serious reduction to post-injury tissue necrosis.
In short : if the basic underlying processes include low oxygen (hypoxia), loss of blood flow (ischemia), and/or secondary inflammation, HBOT can potentially help. HBOT’s versatility makes sense only when you look beneath the surface to find the common threads in all the conditions and diseases.
In Orthopedy, use HBOT as an adjuvant therapy as soon as possible, after the injury or surgery.