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CO2 laser surgery in osteomyelitis

A Ceballos1, R Balmaseda, R Puente

  • 1Dept. of Orthopaedics and Traumatology, Centro de Investigaciones Médico-Quirúrgicas, La Habana, Cuba.

Journal of Clinical Laser Medicine & Surgery
|January 1, 1997
PubMed
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Carbon dioxide (CO2) laser surgery aids in treating chronic osteomyelitis by creating an aseptic environment, reducing relapses, and promoting healing. This adjunctive tool enhances surgical outcomes in patients with bone infections.

Area of Science:

  • Surgical Oncology
  • Biomedical Engineering
  • Infectious Diseases

Background:

  • CO2 laser surgery offers incisive, coagulating, and antiseptic properties beneficial for surgical procedures.
  • Its unique characteristics make it particularly suitable for managing chronic osteomyelitis.

Purpose of the Study:

  • To evaluate the efficacy of carbon dioxide (CO2) laser thermal energy in treating osteomyelitis.
  • To determine if CO2 laser application on infected tissues creates an aseptic field, reduces relapses, and promotes healing.

Main Methods:

  • The study involved 80 patients diagnosed with chronic osteomyelitis, aged 10-75 years.
  • Classical surgical procedures were augmented with the application of a CO2 laser beam.

Main Results:

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  • 45 patients healed after a single CO2 laser treatment session combined with standard surgical interventions.
  • 22 patients required up to three treatment sessions for complete healing.
  • 12 patients did not achieve healing, with one requiring amputation.

Conclusions:

  • CO2 laser surgery is an effective adjunctive therapy for chronic osteomyelitis.
  • It enhances the overall effectiveness of surgical procedures and supports the healing process in patients with bone infections.