Williamson

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No data on the use of hyperbaric oxygen for open tibial fractures

Clinical bottom line:

1. Trial abandoned having recruited only 17 patients in total (target 36 in each group)


Citation/s:1. Williamson OD, Millar I, Venturoni C. Hyperbaric oxygen and the management of open tibial fractures. Journal of Bone and Joint Surgery – British Volume, Orthopaedic proceedings 2005; 88-B(Suppl II):323.

Lead author's name and fax:I. Millar I.Millar@alfred.org.au

Three-part Clinical Question:Does HBOT improve soft tissue healing in adult patients with open tibial fractures?

Search Terms:Open tibial fracture; crush injury

The Study:Non-blinded randomised controlled trial.

The Study Patients:Adults with lower leg fractures requiring extensive soft tssue and/or vascular repair (Gustillo class 3B and 3C fractures).

Control group:No HBOT, usual management.

Experimental group:As above plus HBOT – dose not reported.

The Evidence:

None reported.

Comments:

1. Reasons for cancellation given were slower than expected recruitment rate and difficulty engaging orthopaedic team owing to pre-existing belief that HBO was efficacious.

2. No report of any outcome from the 17 enrolled patients.

Appraised by:Craig Wilson c.c.wilson@live.co.uk; Friday, 24 November 2017

Email:c.c.wilson@live.co.uk

Kill or Update By:November 2022

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