Use of MatriDerm® (skin substitute) and split skin graft in one stage in wound healing of exposed tibia without periosteum in two patients

Abstract

Reporting two cases one of two centimetres breadth and the other of four centimetres breadth exposed tibia bone devoid of periosteum due to post debridement involving periosteum elevator to remove infective tissue which was successfully covered by a simple procedure with MatriDerm® and split skin graft in a single stage. Tibia bone was not drilled to sprout granulation tissue from bone marrow to create a granulated vascularised bed for second-stage skin grafting. It avoided local flap or microsurgical free flap surgery for small exposed bone devoid of periosteum. Both cases had a pleasing aesthetic outlook after a few months of follow-up. Difficult to find instances of more than two centimetres of exposed tibia devoid of periosteum covered successfully in a single stage by this procedure.