IPRAS

Duoderm ® CGF ® and Hand modelare very similar to those of human skin, allowing one toperform incisions, dissections and suturing on it. Since2003 we have used Duoderm-plasty to illustrate andexplain to medical students and residents the differenttechniques of plastic skin-surgery (Z-plasty, V-Y-plasty,syndactyly correction etc.), in order for the residents andtrainees to master their skills.A ‘case’ of Duoderm-plasty for correction of ‘syndactyly’is presented below (Fig. 1-5). Syndactyly is obtained bypasting the Duoderm ® CGF ® on the 3 rd and 4 th fingersof the hand model (Internal Hand Structure Model,American 3B Scientific, Tucker, GA, USA) (Fig. 2). Flapmarkings are done as per description of the Niranjan andDe Carpentier trilobed-flap technique 6According to Niranjan and our experience with patients(Figures 6-7), skin grafting is not required in all casesDuoderm ® CGF ® pasted on the middle and ring fingers to achieve syndactyly. (A) Dorsal view. (B) Palmar view.Flap markings. (A) Dorsal view. (B) Palmar view.42 IPRAS Journal www.ipras.org Issue 7