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Local, deep insufflation of an oxygen ozone mixture in the prevention and treatment of infections in the locomotor system

Título
Local, deep insufflation of an oxygen ozone mixture in the prevention and treatment of infections in the locomotor system
Autores

Dariusz Białoszewski

Department of Orthopedic Surgery and Traumatology of the Locomotor Apparatus,
Medical University of Warsaw, Warsaw, Poland
Head: Prof. A. Górecki, M.D., Ph.D.
Department of Physiotherapy, 2nd Faculty of Medicine, Medical University of
Warsaw, Warsaw, Poland Head: Prof. J. Juskowa, M.D., Ph.D

Background

Ozone therapy – i.e. the treatment of patients by a mixture of oxygen and ozone – has been used for many years as a method ancillary to basic treatment, especially in those cases in which traditional treatment methods do not give satisfactory results, e.g. skin loss in non-healing wounds, ulcers, pressure sores, fistulae,etc.

Material and methods

In the period from January 2000 until September 2002, 68 patients with extensive injuries to the locomotor system and septic complications after surgical procedures were treated with ozone at the Department of Physiotherapy of the 2nd Medical Faculty and the Department of Orthopedics and Traumatology of the Locomotor System at the Medical Academy of Warsaw. The ozone therapy was administered using an authorial technique of deep ozone application. Two groups of patients were treated: posttraumatic patients at risk for primary deep infections (e.g. compound fractures without skin loss) and patients diagnosed with postoperative infections in the locomotor system. The first group involved 41 patients; the second group, 27.

Results

In the first group, five patients had septic complications despite mixed treatment, including three case of osteitis. In the
second group, all the patients experienced much faster than normal wound healing with inhibition of septic processes. In six cases, the septic process was reactivated after 6 and 9 months respectively, and these patients are still undergoing treatment.

Conclusions

Our data confirm the advantages resulting from the deep application of ozone in the prevention and combined treatment of septic complications in the locomotor system. Our technique of deep ozone application makes it possible to reduce the risk of posttraumatic infections and promotes quicker healing of post-surgical complications and chronic septic infections. This method is also cost- efficient, shortens the duration of required antibiotic therapy, and is sometimes the only available auxiliary technique to support surgical procedures.

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