Eficacia de la oxigenoterapia hiperbárica en retardo de la consolidación ósea en pacientes de entre 25 a 65 años en el Hospital General Naval de Guayaquil entre los años 2009 - 2019.

Abstract

Introduction: The delay in bone consolidation corresponds to 5 to 10% of the complications that occur in fractures, its etiopathogenesis is multifactorial, but it is mainly due to the low blood supply and the consequent hypoxygenation of the fracture area. There have been no recent studies that directly verify the efficacy of hyperbaric oxygen therapy on this pathology, but on bone consolidation. Methodology: An observational, retrospective and analytical cross-sectional study was carried out at the General Naval Hospital of Guayaquil to demonstrate the efficacy of the use of hyperbaric oxygen therapy (OHB) in patients who presented delayed bone consolidation. Results: From a sample of 48 patients with delayed bone consolidation, a Chi2 test was performed among the therapeutics applied with hyperbaric oxygen, where a value of p = 0.0008 was obtained, with a favorable evolution in 71% of the patients in relation to the number of sessions. A Wilcoxon test was also performed to determine the degree of consolidation before and after treatment with hyperbaric oxygen therapy, from which a p-value = 0.0001 was obtained, in addition to observing clinical improvement evidenced by the degree of consolidation after treatment, IV / V in 42 % and V / V in 54% respectively after OHB treatment. Conclusion: It was observed that there is a statistically significant relationship between the use of OHB and the clinical and radiological improvement of patients with delayed bone consolidation.