Journals / Acta Orthopaedica et Traumatologica Turcica / 2014 / Cilt: 48 Sayı: 6

Diabetic hand infections and hyperbaric oxygen therapy

Diyabetik el enfeksiyonları ve hiperbarik oksijen tedavisi

Pages
649–654
Publication Date
2015-01-16
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: The addition of HBOT to the standard treatment may contribute to the healing of hand ulcers in diabetics by increasing the tissue oxygenation and correcting the process of disturbed wound healing.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: The aim of this study was to discuss the clinical characteristics and results of hand infections in diabetic patients treated with hyperbaric oxygen therapy (HBOT).
📊
Key Findings & Data:Methods: This retrospective study included 10 patients with diabetes mellitus who underwent HBOT due to hand infections between January 2006 and February 2011.
💡
Conclusion & Impact:Conclusion: The addition of HBOT to the standard treatment may contribute to the healing of hand ulcers in diabetics by increasing the tissue oxygenation and correcting the process of disturbed wound healing.
🔬Design:Research Article
📍Scope:2006 Verileri
⚙️Variables:Ampütasyon · diyabetik el enfeksiyonu · hiperbarik oksijen tedavisi.

Abstract

Objective: The aim of this study was to discuss the clinical characteristics and results of hand infections in diabetic patients treated with hyperbaric oxygen therapy (HBOT). Methods: This retrospective study included 10 patients with diabetes mellitus who underwent HBOT due to hand infections between January 2006 and February 2011. Results: Amputation was performed at the level of the right hand index finger proximal interphalangeal joint in 1 patient and at the level of the distal phalanx of the left hand middle finger in 1 due to necrotizing soft tissue infection. Ulcers of 8 patients healed completely without amputation. Conclusion: The addition of HBOT to the standard treatment may contribute to the healing of hand ulcers in diabetics by increasing the tissue oxygenation and correcting the process of disturbed wound healing.

Özet

Amaç: Bu çalışmanın amacı, hiperbarik oksijen tedavisi (HBOT) ile tedavi ettiğimiz diyabetli hastalardaki el enfeksiyonlarının klinik özelliklerinin ve sonuçlarının değerlendirilmesi idi. Çalışma planı: Bu geriye dönük çalışmaya Ocak 2006-Şubat 2011 tarihleri arasında HBOT uygulanan 10 diyabet hastası dahil edildi. Bulgular: Nekrotizan yumuşak doku enfeksiyonu nedeniyle 1 hastaya sağ el işaret parmağı proksimal interfalangeal eklem seviyesinden, diğer bir hastaya ise sol el üçüncü parmak distal falanks seviyesinden ampütasyon uygulandı. Sekiz olgudaki ülserler ise ampütasyona gerek kalmadan tamamen iyileşti. Çıkarımlar: Standart tedaviye ek uygulanacak HBOT, doku oksijenlenmesini arttırarak ve bozulmuş yara iyileşmesini düzelterek diyabetik el ülserlerinin tedavisine katkıda bulunabilir.

🔖

Cite This Article

Aydin, F., Kaya, A., Savran, A., İncesu, M., Karakuzu, C., Ozturk, A. M. (2015). Diabetic hand infections and hyperbaric oxygen therapy. Acta Orthopaedica et Traumatologica Turcica, Cilt: 48 Sayı: 6, 649–654. https://doi.org/10.3944/AOTT.2014.3225

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (25)

  1. World Health Organization: Diabetes Factsheet No: 312. [cited 2011 January 23]. Available from: http://www.who. int/mediacentre/factsheets/fs312/en/index.html.
  2. Jeffcoate WJ, Harding KG. Diabetic foot ulcers. Lancet 2003;361:1545-51. CrossRef
  3. Lavery LA, van Houtum WH, Armstrong DG, Harkless LB, Ashry HR, Walker SC. Mortality following lower ex- tremity amputation in minorities with diabetes mellitus. Diabetes Res Clin Pract 1997;37:41-7. CrossRef
  4. Unachukwu C, Babatunde S, Ihekwaba AE. Diabetes, hand and/or foot ulcers: a cross-sectional hospital-based study in Port Harcourt, Nigeria. Diabetes Res Clin Pract 2007;75:148-52. CrossRef
  5. Gill G, Archibald L, Abbas ZG. Diabetic hand infections in the tropics. Pract Diab Int 2003;20:275. CrossRef
  6. Al-Matubsi HY, Hamdan F, Alhanbali OA, Oriquat GA, Salim M. Diabetic hand syndromes as a clinical and di- agnostic tool for diabetes mellitus patients. Diabetes Res Clin Pract 2011;94:225-9. CrossRef
  7. Abbas ZG, Lutale J, Gill GV, Archibald LK. Tropical diabetic hand syndrome: risk factors in an adult diabetes population. Int J Infect Dis 2001;5:19-23. CrossRef
  8. Gill GV, Famuyiwa OO, Rolfe M, Archibald LK. Tropical diabetic hand syndrome. Lancet 1998;351:113-4. CrossRef
  9. Houshian S, Seyedipour S, Wedderkopp N. Epide- miology of bacterial hand infections. Int J Infect Dis 2006;10(4):315-9. CrossRef
  10. Gill GV, Famuyiwa OO, Rolfe M, Archibald LK. Seri- ous hand sepsis and diabetes mellitus: specific tropi- cal syndrome with western counterparts. Diabet Med 1998;15:858-62. CrossRef
  11. Wang C, Lv L, Wen X, Chen D, Cen S, Huang H, et al. A clinical analysis of diabetic patients with hand ulcer in a diabetic foot centre. Diabet Med 2010;27:848-51. CrossRef
  12. Fitzgibbons PG, Weiss AP. Hand manifestations of diabe- tes mellitus. J Hand Surg Am 2008;33:771-5. CrossRef
  13. Papanas N, Maltezos E. The diabetic hand: a forgotten complication? J Diabetes Complications 2010;24:154-62.
  14. Cheng NC, Su YM, Kuo YS, Tai HC, Tang YB. Factors affecting the mortality of necrotizing fasciitis involving the upper extremities. Surg Today 2008;38:1108-13. CrossRef
  15. Kindwall EP. Hyperbaric medicine practice. North Palm Beach, FL: Best Publishing Company; 1995. p. 142-72.
  16. Löndahl M, Katzman P, Nilsson A, Hammarlund C. Hyperbaric oxygen therapy facilitates healing of chron- ic foot ulcers in patients with diabetes. Diabetes Care 2010;33:998-1003. CrossRef
  17. Cianci P. Advances in the treatment of the diabetic foot: Is there a role for adjunctive hyperbaric oxygen therapy? Wound Repair Regen 2004;12:2-10. CrossRef
  18. Niinikoski JH. Clinical hyperbaric oxygen therapy, wound perfusion, and transcutaneous oximetry. World J Surg 2004;28:307-11. CrossRef
  19. Çimşit M. Hyperbaric medicine theory and application. [Book in Turkish] Istanbul: Eflatun Yayınevi; 2009. p. 35- 58.
  20. Mutluoglu M, Uzun G, Yildiz S. Hyperbaric oxygen therapy in the treatment of diabetic foot ulcers--prudent or problematic: a case report. Ostomy Wound Manage 2010;56:32-5.
  21. Abbas ZG, Gill GV, Archibald LK. The epidemiology of diabetic limb sepsis: an African perspective. Diabet Med 2002;19:895-9. CrossRef
  22. Coppini DV, Best C. A case of hand ulceration in the dia- betic foot clinic--a reminder of hand neuropathy in ‘at risk’ patients. Diabet Med 2000;17:682-3. CrossRef
  23. Benotmane A, Faraoun K, Mohammedi F, Benkhelifa T, Amani ME. Infections of the upper extremity in hospi- talized diabetic patients: A prospective study. Diabetes Metab 2004;30:91-7. CrossRef
  24. Kaya A, Aydin F, Altay T, Karapinar L, Ozturk H, Kara- kuzu C. Can major amputation rates be decreased in dia- betic foot ulcers with hyperbaric oxygen therapy? Int Or- thop 2009;33:441-6. CrossRef
  25. Huang KC, Tsai YH, Hsu RW. Hyperbaric oxygen thera- py facilitates surgery on complex open elbow injuries: pre- liminary results. J Shoulder Elbow Surg 2007;16:454-60.