Honey impregnated dressings study for plantar ulcer from sharp object wound

Mr W (52 years old, type 1 diabetes) stood on a sharp object and presented
(1) with a plantar ulcer and was admitted to hospital. Surgical debridement
was undertaken to expose the full extent of the wound, and topical negative
pressure was used to promote granulation.

Three weeks after presentation, Mr W insisted he be discharged from hospital
and it was at this time that honey-impregnated dressings were commenced (2).

Mr W’s ulcer, 6 weeks after discharge (3), showed good progress to healing
and minimal callus formation at the wounds margins – indicating that Mr W
was resting and offloading the foot as recommended.

At 18 weeks after presentation, Mr W’s ulcer was close to achieving complete
healing (4; note the dark yellow honey residue).