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HBO in Orthopedic Disorders

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Handbook on Hyperbaric Medicine

Abstract

Every trauma determines a state of local hypoxia that follows tissular ischaemia, because of anatomical vascular lesions or functional obstacles, which interfere with cellular metabolic processes. In soft tissues the post-traumatic interruption of the perfusion and oxygenation provokes mortification and necrosis. In the bones, the damage in the blood supply, which we can observe after a fracture, provokes an ischaemic-hypoxic state that interferes with the repairing processes that originate in the post-fracture haematoma and are completed only in normal oxygen conditions, causing a delay in the formation of the bone callus and, consequently, in the consolidation of the fractures.

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Authors and Affiliations

  1. II Orthopaedic and Traumatologic Division, Galeazzi Orthopaedic Institute, Via Riccardo Galeazzi 4, 20161, Milan, Italy

    F. Malerba & A. Farnetti

  2. Anaesthesia, Intensive and Hyperbaric Care Department, Galeazzi Orthopaedic Institute, Via Riccardo Galeazzi 4, 20161, Milan, Italy

    G. Oriani

  3. Service de Réanimation Médicale, Unité de Médecine Hyperbare, Centre Hospitalier Universitaire, 4 Rue Larrey, 49033, Angers Cedex 01, France

    G. Bouachour

  4. Service de chirurgie Reconstructrice et Traumatologique, Centre Hospitalier Universitaire, 4 Rue Larrey, 49033, Angers Cedex 01, France

    P. Cronier

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  1. F. Malerba
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  2. G. Oriani
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  3. A. Farnetti
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  4. G. Bouachour
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  5. P. Cronier
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Editor information

Editors and Affiliations

  1. Anaesthesia, Intensive and Hyperbaric Care Department, Istituto Ortopedico Galeazzi, Via Riccardo Galeazzi 4, 20161, Milano, Italy

    G. Oriani

  2. Divers Alert Network Europe, Via Puglie 82, 64026, Roseto degli Abruzzi, Italy

    A. Marroni

  3. Service de Réanimation Mèdicale et de Médicine Hyperbare, Hôpital Albert Calmette, Blvd. du Prof. Leclercq, 59037, Lille Cedex, France

    F. Wattel

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Malerba, F., Oriani, G., Farnetti, A., Bouachour, G., Cronier, P. (1996). HBO in Orthopedic Disorders. In: Oriani, G., Marroni, A., Wattel, F. (eds) Handbook on Hyperbaric Medicine. Springer, Milano. https://doi.org/10.1007/978-88-470-2198-3_13

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  • DOI: https://doi.org/10.1007/978-88-470-2198-3_13

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