Actively Recruiting

Phase Not Applicable
Age: 18Years - 90Years
All Genders
ID03594344

Additional Hyperbaric Oxygen After Lower Extremity Amputation - A Randomized Controlled Trial

Led by Oslo University Hospital · Updated on 2025-03-30

120

Participants Needed

2

Research Sites

52 weeks

Total Duration

On this page

Sponsors

O

Oslo University Hospital

Lead Sponsor

D

Diakonhjemmet Hospital

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are evaluating the effect of adding hyperbaric oxygen therapy after lower extremity amputation. The study focuses on patients who have had amputations due to chronic wounds, osteomyelitis, ischemia, or necrosis, conditions commonly associated with poor healing. Hyperbaric oxygen therapy has been used for decades to help heal difficult wounds by increasing oxygen levels in tissues, potentially improving healing at the amputation site and reducing the need for further amputations. Participants who have undergone lower extremity amputation will be randomly assigned to one of two groups. One group will receive 30 sessions of hyperbaric oxygen therapy, each lasting 90 minutes at 2.4 atmosphere absolute (ATA) with 100% oxygen. The first treatment must begin within seven days after amputation, and the therapy is provided as outpatient care after hospital discharge. The other group will receive standard care and outpatient follow-up without hyperbaric oxygen therapy. During the study, participants will be monitored for skin healing at the amputation site up to 12 months, including assessments at 12 weeks, 6 months, 9 months, and 1 year. Researchers will measure outcomes like intact skin without abnormal openings, time to wound closure, reamputations, wound revisions, hospital days, pain levels, quality of life, mobility, and foot and ankle function. Follow-up visits and evaluations will occur regularly to track healing progress and overall health after treatment.

CONDITIONS

Brief Title

Additional Hyperbaric Oxygen After Lower Extremity Amputation

Who Can Participate

Age: 18Years - 90Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Lower extremity amputation due to chronic wound, osteomyelitis, ischemia, or necrosis
  • Fit to receive hyperbaric oxygen therapy as determined by an anesthesiologist or hyperbaric medicine physician
  • Able to cooperate with and attend follow-up appointments
  • Included within 7 days after the final surgery
Not Eligible

You will not qualify if you...

  • Not meeting the inclusion criteria
  • Pregnancy
  • Dementia

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

Treatment

Duration - Until completion of 30 sessions

Participants receive 30 sessions of hyperbaric oxygen therapy, each session lasting 90 minutes at 2.4 ATA with 100% oxygen. Treatment starts within 7 days after amputation and is given as outpatient treatment after hospital discharge.

30 outpatient visits

Follow-up

Duration - Up to 1 year after treatment

Participants are followed for up to 1 year after treatment to monitor wound healing, pain levels, quality of life, and need for reamputation.

Multiple follow-up visits at 12 weeks, 6 months, 9 months, and 1 year

Trial Site Locations

Total: 2 locations

1

Diakonhjemmet Hospital

Oslo, Norway, 0319

Actively Recruiting

2

Orthopedic Center, Ullevål University Hopspital

Oslo, Norway, 0407

Actively Recruiting

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Research Team

J

Jonas Rydinge, MD

E

Elisabeth I Ellingsen Husebye, MD, PhD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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