Role of acellular dermal matrix allograft in minimal invasive coverage of deep burn wound with bone exposed – case report and histological evaluation

A sandwich graft was applied to the debrided cortical bone layer of the tibia in the case of a 72‐year‐old male patient with full‐thickness necrotic burn injury. The combined graft consisted of a dermal template material and autologous split thickness skin graft. After application, the graft was found totally accepted and provided good functionality with acceptable appearance. Histopathologic evaluation revealed a complete take with revascularisation of the implant. Supporting lamellar bony trabecules were also seen in the deep dermal dermis representing a connection to the underlying bone. The use of the dermal matrix in deep burn exposing the bone provides a satisfactory functional result and good cosmetic appearance.