A 2-year-old cat with a front leg fracture was treated using Medical Grade Honey, L-Mesitran Soft. The gel facilitated gentle removal of necrotic tissue and promoted rapid wound healing, reducing the wound size by 70% in three weeks and achieving complete closure within four weeks.
A 2-year-old cat (Amy) was presented to the clinic with a radius / ulna fracture on the right front leg. The cat was otherwise in good general condition. The fracture was reduced and stabilized with plate osteosynthesis. To prevent infection enrofloxacin (Baytril, Bayer) tablets, 5 mg/kg body weight were used for 10 days. For pain relief meloxicam (Metacam, Boehringer) was administered orally for 10 days. The limb was treated postoperatively with only a bandage. However, after 14 days (fig. 1), necrosis was seen, which prevented rapid wound healing. Treatment with Medical Grade Honey was started, because in previous comparable injuries the results had been good with this treatment.
Treating Fracture with Medical Grade Honey info
Case study done by: Ursula Schneeberger (DVM), Tierarztpraxis 2822 Bad Erlach, Austria
Treatment with a Medical Grade Honey product (L-Mesitran, Triticum) was started twice daily. No dressings were applied, only a collar was used to prevent the cat from licking the injured area.
This treatment resulted in a gentle removal of the necrotic tissue and it allowed optimal conditions for an undisturbed wound healing. After 3 weeks of treatment with the Medical Grade Honey product, the wound size was reduced by +/- 70% and after another week the wound was completely closed.
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Discussion on result of Medical Grade Honey
In this practice necrosis has mostly been removed by surgical debridement until recent. The advantage of this method is that it is a quick fix of the problem. On the other hand, the need for a method as gentle as autolytic debridement, using hydrogels especially in cats and other animals after accidents and in a reduced general condition, is very desirable.
Drug-free hydrogels rehydrate the wound and are, together with appropriate wound irrigation, very effective in cleaning the wound. The efficiency can be significantly increased through the use of medical grade honey products.
Due to the osmotic effect of honey, ointments and hydrogels with medical grade honey are good for wound cleansing and gentle removal of necrotic tissue and slough (Stephen-Haynes, 2011). Their antibacterial activity provides protection against wound infections and creates an optimal wound environment (Stobberingh, 2010).
In this case, the wound healing process could finally start in this stagnated wound, once the necrotic tissue was debrided by the Medical Grade Honey product. The wound healed thereafter rapidly without complications. It was completely healed in 4 weeks time.
Fig.1: Two weeks post trauma
Fig.2: After three weeks of honey gel treatment
References
- Stephen-Haynes J, Callaghan R (2011) Properties of honey its mode of action and clinical out-comes. Wounds UK 7(1):50-57
- Stobberingh E (2010) Activity of L-Mesitran Ointment and Soft against (antibiotic resistant) bacteriae / Antibacterial activity of honey against ESBL -producing strains. Commisioned research by the manufacturer.