title: Role of acellular dermal matrix allograft in minimal invasive coverage of deep burn wound with bone exposed--case report and histological evaluation.
abstract: 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.
authors.affiliation: Department of Dermatology, University of Debrecen, Medical and Health Science Centre, Debrecen, Hungary.
authors.forename: Krisztián
authors.initials: K
authors.lastname: Gáspár
authors.forename: Irén
authors.initials: I
authors.lastname: Erdei
authors.forename: Zoltán
authors.initials: Z
authors.lastname: Péter
authors.forename: Balázs
authors.initials: B
authors.lastname: Dezsö
authors.forename: János
authors.initials: J
authors.lastname: Hunyadi
authors.forename: István
authors.initials: I
authors.lastname: Juhász
mesh_terms: D000368:Aged; D001707:Biopsy, Needle; D002056:Burns / Q000473:pathology* / Q000601:surgery*; D003131:Combined Modality Therapy; D003646:Debridement / Q000379:methods; D005500:Follow-Up Studies; D006085:Graft Survival; D006801:Humans; D007150:Immunohistochemistry; D015601:Injury Severity Score; D008297:Male; D018570:Risk Assessment; D016038:Skin Transplantation / Q000379:methods*; D017768:Skin, Artificial; D013526:Surgical Mesh; D014182:Transplantation, Autologous; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology*