Pakistan Journal of Medical Sciences

Published by : PROFESSIONAL MEDICAL PUBLICATIONS

ISSN 1681-715X

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ORIGINAL ARTICLE

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Volume 23

April - June 2007 (Part-II)

Number 3


 

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A study on the healing effect of honey on
infected open fracture wounds

Mohammad Fakoor1, Mohammad Hassan Pipelzadeh2

ABSTRACT
Objective: Failure of antibiotic therapy in the treatment of open wounds that result from acute complicated traumatic orthopedic injuries is a clinical problem. In this study, honey was used in the control of infections.
Methodology: One hundred two patients who suffered traumatic open fractures with grade II or III on Castillo scale and despite treatment with classical antibiotics, the wounds did not heal were included. The wounds were initially washed with normal saline and a layer of honey, obtained commercially, was applied and covered with sterile gauze. The patients were instructed to follow the same dressing pressure on discharge. Follow up was on weekly basis, until complete wound healing.
Results: Almost in all, except two, discharge from wounds stopped within two weeks, with a production of healthy granulation tissue in the wound beds. The duration for complete wound closure was between 2 to 5 months, which was related to the initial wound size. Two cases, both had large wounds, required re-deridement, suturing and grafting and took 11 and 13 months for complete wound closure.
Conclusion: The findings suggest that honey is useful in the control and treatment of infected wounds that follow complicated traumatic orthopedic injuries.

KEY WORDS:
Honey, Acute complicated orthopedic injuries, Open fractures, Infection.

Pak J Med Sci   May - June 2007   Vol. 23 No. 3   327-329


1. Mohammad Fakoor,
Department of Orthopedic Surgery,
2. Mohammad Hassan Pipelzadeh, Ph.D
PhD Pharmacology,
Department of Pharmacology,
1,2: Medical School, Ahwaz Jundishapur
University of Medical Sciences,
Ahwaz – Iran.

Correspondence

Mohammad Hassan Pipelzadeh,
Email: mhpipelzadeh@yahoo.com

* Received for Publication: November 8, 2006
* Accepted: January 28, 2007



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