Eficacia del uso de la cámara hiperbárica en lesiones osteomusculares tipo fractura en el Hospital Naval de Guayaquil en el periodo 2015-2021.

Abstract

Introduction: Musculoskeletal injuries, especially bone fractures, can produce a decrease in PO2 in the intramedullary region below 30 mmHg. In this condition, treatment with HBO is appropriate, since it ostensibly improves PO2 (about 100 mmHg) in the tissues, thus facilitating the immune response of leukocytes, osteogenesis, and finally neovascularization. Methodology: Observational, Transversal, Descriptive. In order to reach clear results and obtain a precise analysis within the investigation, the hypothetical-deductive method and the synthetic analytical method are being used. Results: According to the variables bone consolidation, functional and radiological evaluation, it is analyzed that 90 of the 254 patients who entered this study, regardless of the pathology to be treated, had as a final result remodeling of the fracture with conservation of movement, while those 73 patients had radiological evaluation with the presence of bone callus and conservation of mobility. Discussion: Regarding age, it was evidenced that the age ranges 30 to 50 years formed callus and bone remodeling early, they only required between 40 to 60 sessions. While elderly patients needed approximately 50 to 70 sessions. These patients had a better prognosis regarding the recovery of the affected limb, going hand in hand with the stability of their underlying pathologies, correct management of antibiotics and rehabilitation. Conclusions: HBOT is effective in terms of the number of sessions that each patient required, finding significant improvement in young patients who received between 40 and 60 sessions, with recovery of mobility. When evaluating recovery by radiography, improvement is evident due to the formation of bone callus or the remodeling phase.