Tualang honey spray versus film spray (Opsite*) as post-long bone fracture fixation wound dressing: a comparative study

Shafei, Surianty and Sharifudin, Mohd Ariff and Ab Rahman, Shafuzain and Sadagatullah, Abdul Nawfar (2014) Tualang honey spray versus film spray (Opsite*) as post-long bone fracture fixation wound dressing: a comparative study. In: 44th Malaysian Orthopaedic Association (MOA) Annual General Meeting / Annual Scientific Meeting 2014 incorporating 11th CAOS Asia Meeting, 29 May 2014 - 1 June 2014, Hilton Kuala Lumpur / Le Meridien Kuala Lumpur.

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Abstract

Introduction: Tualang honey spray is a new dressing agent with potential wound healing quality and outcome compared to other products. The aim of the study is to compare the advantages of Tualang honey versus spray film (Opsite*) as dressing materials following long bone fracture fixations. This is a preliminary study in Malaysia that involve human as subjects. Methodology: This is a prospective randomized controlled trial involving patients with closed fracture mid-shaft of tibia or femur treated with open reduction and internal fixation (plates or intramedullary devices) at a single tertiary centre. Forty patients fulfilling the criteria of the study were involved. It was a three-arm study that consist of film spray (Opsite*) dressing (n=16), Tualang honey spray (n=13), and control group (n = 11). Each group had a same wound protocol except for the control group that involve only application of non-adhesive film (Mepore). Dressing materials were applied on wounds of the other two groups accordingly, immediately after surgery and on day three following surgery. Wound assessment were done on day 14 and day 42 following surgery. Outcomes evaluated include wound complications and the effects on skin commensals. On the final evaluation on day 42, infection rate and scar formation were also evaluated. Results: A case of superficial surgical site infection was observed from the Opsite* spray group. Acinobacter species was isolated from one of the patients under the control group. There was no association between dressing methods used and wound healing. All wounds healed without any infection at the end of the study. Tualang honey spray was shown to have significant influence in reducing the risk of hypertrophic scar formation and has similar wound outcome as compared to Opsite* spray. Some of the results obtained were comparable to other previous studies on type of dressing and surgical wound healing. Conclusion: Tualang honey spray is a safe alternative for dressing material and was shown comparable to Opsite* spray. Contradict to some of the data available in the literature; its usage is able to promote a good wound healing with a low risk of hypertrophic scar formation.

Item Type:	Conference or Workshop Item (Poster)
Additional Information:	5770/36806
Uncontrolled Keywords:	Tualang honey spray, film spray, wound dressing
Subjects:	R Medicine > RD Surgery > RD701 Orthopedics R Medicine > RD Surgery > RD92 Wounds and injuries
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine > Department of Department of Orthopaedics, Traumatology & Rehabilitation
Depositing User:	DR MOHD ARIFF SHARIFUDIN
Date Deposited:	03 Jun 2014 10:11
Last Modified:	03 Jun 2014 10:11
URI:	http://irep.iium.edu.my/id/eprint/36806

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