Zeynel Mert ASFUROĞLU, Uğur BEZİRGAN, İlhami KURU
Hand and Microsurgery - 2025;14(3):106-111
Objectives: Syndactyly reconstruction is a technically demanding procedure that requires precise flap planning and dissection. However, traditional surgical training often lacks sufficient opportunities for repeated practice, especially in low-resource settings. This study aimed to introduce and evaluate a novel, low-cost, and easily replicable simulation model designed to improve surgical training in syndactyly reconstruction. Methods: We developed the model by covering a commercially available nail-training hand with a latex glove, simulating a syndactyly in the third web space. This model was incorporated into a hands-on session at the Prof. Rıdvan Ege Basic Hand Surgery Course in February 2025. Participants (n=112) completed pre- and post-training self-assessments rating their practical knowledge of syndactyly surgery on a scale of 1 to 10. Subgroup analyses were conducted based on specialty and training level. Results: Participants' self-rated knowledge improved significantly from a mean of 3.46 +/- 2.11 before training to 7.30 +/- 1.78 after training (p < 0.001). Specializations (p = 0.773) and training levels (p = 0.100) revealed no significant differences in knowledge improvement. Conclusion: This simple, low-cost model significantly enhanced participants' self-perceived knowledge of syndactyly reconstruction and was well received in a structured surgical training environment. While the assessment was based on self-reported scores, the model nonetheless provides a practical and scalable tool for surgical education, especially in settings with limited resources or case exposure.
