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 biceps 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 biceps transfer to finger flexors by tensor fascia lata graft in patients with ischemic Volkmann's contracture resulted in acceptable improvements after the surgery.