PMID- 15674962 OWN - NLM STAT- MEDLINE DCOM- 20050527 LR - 20181201 IS - 1469-493X (Electronic) IS - 1361-6137 (Linking) IP - 1 DP - 2005 Jan 25 TI - Hyperbaric oxygen therapy for promoting fracture healing and treating fracture non-union. PG - CD004712 AB - BACKGROUND: Hyperbaric oxygen therapy (HBOT) consists of intermittently administering 100% oxygen at pressures greater than one atmosphere absolute (ATA) in a pressure vessel. This technology has been used to treat a variety of diseases and has been described as helping patients who have delayed healing or established non-union of bony fractures. OBJECTIVES: The aim of this review was to assess the evidence for the benefit of hyperbaric oxygen treatment (HBOT) for the treatment of delayed bony healing and established non-union of bony fractures. SEARCH STRATEGY: We searched the Cochrane Musculoskeletal Injuries Group trials register (to January week 3, 2004), the Cochrane Central Register of Controlled Trials (The Cochrane Library Issue 4, 2003), MEDLINE (OVID 1966 to January week 3, 2004), CINAHL (OVID 1982 to January week 3, 2004), EMBASE (OVID 1980 to February 2004), the locally developed Database of Randomised Controlled Trials in Hyperbaric Medicine (available at www.hboevidence.com) from inception to March 2004, and reference lists of articles. SELECTION CRITERIA: We aimed to include all randomised controlled trials that compared the effect of HBOT with no HBOT (no treatment or sham). DATA COLLECTION AND ANALYSIS: Two authors using standardised forms attempted to extract data independently. MAIN RESULTS: No trials met the inclusion criteria. We excluded one trial that compared HBOT with no treatment because no clinical outcomes were reported. AUTHORS' CONCLUSIONS: This systematic review failed to locate any relevant clinical evidence to support or refute the effectiveness of HBOT for the management of delayed union or established non-union of bony fractures. Good quality clinical trials are needed to define the role, if any, of HBOT in the treatment of these injuries. FAU - Bennett, M H AU - Bennett MH AD - Diving and Hyperbaric Medicine, Prince of Wales Hospital, Barker Street, Randwick, NSW, Australia, 2031. m.bennett@unsw.edu.au FAU - Stanford, R AU - Stanford R FAU - Turner, R AU - Turner R LA - eng PT - Journal Article PT - Review PT - Systematic Review DEP - 20050125 PL - England TA - Cochrane Database Syst Rev JT - The Cochrane database of systematic reviews JID - 100909747 SB - IM UIN - Cochrane Database Syst Rev. 2012;3:CD004712. PMID: 22419299 MH - *Fracture Healing MH - Fractures, Ununited/physiopathology/*therapy MH - Humans MH - *Hyperbaric Oxygenation RF - 31 EDAT- 2005/01/28 09:00 MHDA- 2005/05/28 09:00 CRDT- 2005/01/28 09:00 PHST- 2005/01/28 09:00 [pubmed] PHST- 2005/05/28 09:00 [medline] PHST- 2005/01/28 09:00 [entrez] AID - 10.1002/14651858.CD004712.pub2 [doi] PST - epublish SO - Cochrane Database Syst Rev. 2005 Jan 25;(1):CD004712. doi: 10.1002/14651858.CD004712.pub2.