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Objectives: Free muscle transfer in Volkmann's contracture surgery is the most difficult method for achieving good results. The aim of the present study was to evaluate the outcomes of tendon bypass transfer to finger flexors by tensor fascia lata graft in patients with Volkmann's contracture. Materials and Methods: This non-randomized clinical trial was conducted on 15 patients (based on a relevant study, census sampling) during 2015-2019 in Shohada hospital, Tabriz. The patients underwent surgery in two stages. In the first stage, muscle release and nerve neurolysis were performed, and in the second stage, the tendon was prepared and connected to the bypass in the volar forearm at the proximal and to finger flexors at the distal joint. Hand grip strength, finger and wrist range of motion, hand dexterity, and daily activities were assessed using the considered tools, and finally, the data were compared using SPSS 20. P<0.05 was considered statistically significant. Results: The preoperative status of the subjects regarding the studied variables was extremely unfavorable, however, hand grip strength (81.35 ± 10.18), Fugl-Meyer (29.49 ± 05.25), hand dexterity (08.59 ± 01.83), and daily activities (81.10±07.43) showed a highly favorable and significant improvement after the surgery (P = 0.001). Conclusions: The tendon bypass transfer to finger flexors by tensor fascia lata graft in patients with ischemic Volkmann's contracture resulted in acceptable improvements after the surgery. [ABSTRACT FROM AUTHOR]

The risk factors for abdominal wall hernia after surgery are an increase in body mass index, midline incision, incisional surgical-site infection, preoperative chemotherapy, blood transfusion, increasing age, female sex, and increasing thickness of subcutaneous tissue. Reconstructing the abdominal wall defect becomes a challenge in multiple risk factor patients. Many new mesh implants have been invented, but all fail in case of infections. We modified and re-evoked an old technique of fascia lata free graft reinforced with tensor fascia lata pedicled flap.

Summary: Although free functional muscle transfer (FFMT) remains the gold standard treatment of facial paralysis to produce a spontaneous, symmetrical smile in response to emotion, there are occasions when this option may not be available. Many patient factors and co-morbidities may result in a poor outcome, with flap and even patient survival being put at risk. The use of tensor facia lata (TFL) slings has been well described and provides a surgeon with a static option which yields acceptable results. We present the results of two surgeons experience using TFL sling as the sole treatment of facial paralysis and include complications, revision rates and outcomes. The results confirm that the use of a TFL sling equips the facial palsy surgeon with an excellent option for the cases where free functional muscle transfer is unavailable. [Copyright &y& Elsevier]