Hyperbaric Oxygen for Stage I and II Femoral Head Osteonecrosis.

Abstract

Hyperbaric oxygen therapy is a suggested joint-preserving treatment for symptomatic early-stage osteonecrosis of the femoral head. Limited studies of this treatment have been published. The goal of this study was to evaluate the effectiveness of this treatment in a relatively large patient cohort. The authors reviewed the files of 68 patients with 78 symptomatic joints with Steinberg stage I and II osteonecrosis of the femoral head. All patients were treated with hyperbaric oxygen at the authors’ medical health center. Pretreatment and immediate posttreatment magnetic resonance imaging (MRI) findings were compared. On follow-up, a telephone interview was conducted to determine the survival of the joint. Modified Harris Hip Score and Short Form 12 health survey (SF-12) questionnaires of the start of treatment and at follow-up were obtained and evaluated for statistically significant differences. Half of the joints were stage 1 and half were stage II. Seventy-four joints underwent both pre- and posttreatment MRI. Eighty-eight percent of joints showed improvement posttreatment. On follow-up at a mean of 11.1±5.1 years, 54 patients (58 joints) were located and answered the questionnaires. At the time of follow-up, 93% of the joints survived. Mean Harris Hip Score improved from 21 to 81 (P<.0001), the mean physical component of the SF-12 improved from 24 to 46 (P<.0001), and the mean mental component of the SF-12 improved from 54 to 59 (P<.0001). The authors concluded that hyperbaric oxygen treatment is effective in preserving the hip joint in stage I and II osteonecrosis of the femoral head. [Orthopedics. 2015; 38(3):e200-e205.].

Copyright 2015, SLACK Incorporated.

PMID:
25760507
[PubMed – in process]
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Posted: Mar 17, 2015 2:17 AM GST Updated: Mar 17, 2015 5:54 PM GST A man’s remarkable recovery from hyperbaric oxygen therapy

TUCSON – Ed Spohn was hit by a car in September, while riding his motorcycle to a doctor’s appointment.
«I thought ‘Is he going to stop?’ and before I could even finish my thought . . . I was hit,» said Spohn.

As Spohn describes it, as he was «bruised head to toe» after the accident. He was even at risk for losing his legs. However, after receiving care and hyperbaric oxygen therapy at Tucson Medical Center’s Wound Care Center, he was able to walk after a few months.

«He was walking and healed within basically two months. That could have easily been extended to four to six months,» said Dr. Michael Lavor, Spohn’s doctor and the TMC Wound Care medical director.

«[The oxygen therapy] substantially increases the oxygen of the tissue and also helps decrease the bacterial load. So with hyperbaric treatment in combination with wound care treatment . . the wounds are healed,» said Dr. Lavor.

While Spohn’s days of riding motorcycles are over, he is thankful that he is even alive today.

«I’ve got some freedoms back. I’ve [also] lost a few freedoms too. But it’s kind of a trade off . . . I’m here today, so that’s real fortunate for me,» said Spohn.

Facelift Healing Innovation: New Study Shows Hyperbaric Oxygen Therapy Decreases Bruising in Facelifts Patients by 35%

NEW YORK, Sept. 21 /PRNewswire/ — A new study released on September 20, 2010, in the Archives of Facial Plastic Surgery details a breakthrough innovation in post-op treatment for facelifts.  The study, performed by renowned New York Facial Plastic and Reconstructive Surgeon Dr. Andrew Jacono details how Hyperbaric Oxygen (HBO) Therapy addresses bruising in patients undergoing facelifts, and proves to decrease bruising by 35 percent, seven days post-operation.

(Photo: http://photos.prnewswire.com/prnh/20100921/NY68304 )

(Photo: http://www.newscom.com/cgi-bin/prnh/20100921/NY68304 )

«Hyperbaric Oxygen Therapy works to increase oxygen to facial tissue and stimulate the growth of new blood vessels, which in turn, contributes to a faster recovery,» explains Dr. Jacono, who cites faster healing time among the top concerns of facial plastic surgery patients.  «My patients are all very busy and are eager to return to their public lives as quickly as possible,» he says.

Facelifts were the most popular surgical procedure for women in 2009, according to the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS).  Compared to 2008, facelift procedures actually increased by 14 percent.

HBO is not Dr. Jacono’s first foray into natural approaches to healing.  He also incorporates scientifically proven holistic elements like homeopathy, massage and music therapy into his daily surgical practice.  Dr. Jacono is known for his masterful results and helping his high profile patients make a rapid return to the public eye.

«Scientific studies also indicate that homeopathic remedies like Arnica Montana and dietary supplements like Bromelaine and Hyaluronic Acid can help minimize swelling and bruising and speed healing,» says Dr. Jacono.

Dr. Jacono’s new study, «Effect of Perioperative Hyperbaric Oxygen on Bruising in Face-lifts,» co-authored by Dr. Benjamin Stong, appears in the September-October 2010 issue of Archives of Facial Plastic Surgery.

About Dr. Andrew Jacono

A Dual Board Certified, Facial Plastic and Reconstructive Surgeon with offices in Manhattan and Great Neck, NY, Dr.  Jacono is Section Head of Facial Plastic and Reconstructive Surgery at North Shore University Hospital Manhasset; Assistant Clinical Professor, Division of Facial Plastic and Reconstructive Surgery at The New York Eye and Ear Infirmary; Director of The New York Center for Facial Plastic and Laser Surgery in Great Neck, NY and author of the book FACE THE FACTS: The Truth About Plastic Surgery Procedures That Do and Don’t Work.

With surgical privileges at six New York area hospitals, an extensive background in Head and Neck Surgery with a subspecialty training in Facial Plastic Surgery, Dr. Jacono is recognized amongst his peers for his innovative surgical techniques and skills. His clinical research has been presented at several national meetings and symposiums and he has authored numerous manuscripts and published articles in leading medical journals on a variety of surgical techniques, including minimally invasive endoscopic facial plastic surgery and lip augmentation.

To learn more about Dr. Jacono and his practice, visit www.newyorkfacialplasticsurgery.com.

SOURCE New York Center for Facial Plastic and Laser Surgery

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