Management of Necrotic Transmetatarsal Amputation with Argania Honey Dressing: A Case Report

Chronic wounds represent a significant global health concern, accounting for a considerable proportion of amputations. Recent advances in healthcare have highlighted the importance of effective wound healing and the prevention of bacterial infections, as these factors are crucial contributors to elevated morbidity rates. Selecting an appropriate wound dressing has presented a significant challenge for healthcare professionals, particularly in developing countries. Honey, a traditional remedy with a long history of use, has been employed in wound care for centuries. This report presents a case study of effective management in a 74-year-old patient with a 28-year history of type II diabetes. This individual experienced a complication related to diabetic foot issues, necessitating toe amputation. This procedure subsequently resulted in difficulties involving necrosis. The treatment protocol included the application of a dressing based on pure Argania honey (Argania spinosa, an endemic tree of southwestern Morocco), without additives, pasteurisation or manipulation. A sharp debridement procedure was previously performed to facilitate the impregnation of honey in the affected area of necrosis. At the end of the treatment all symptoms, including pain, exudates, odour, burning sensation and itching, were fully alleviated. Moreover, a considerable decrease in swelling and wound size was evident, suggesting significant healing in the injured area. The administration of natural remedies for the treatment of this kind of injury may prove an efficacious strategy for the enhancement of quality of life for diabetic patients.