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Mid-term Functional Outcome and Return to Sports after Proximal Hamstring Tendon Repair.
G H Sandmann1, D Hahn2, M Amereller2
1Department of Trauma Surgery, Klinikum rechts der Isar, Technische Universitaet Munich, Munich, Germany.
International Journal of Sports Medicine
|May 3, 2016
Summary
Surgical repair of proximal hamstring tendon ruptures offers good mid-term functional outcomes. Patients regain pre-injury activity levels and demonstrate comparable strength to their uninjured leg, facilitating a return to sports.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Rehabilitation Science
Background:
- Proximal hamstring tendon ruptures significantly impair function, necessitating surgical intervention for active individuals.
- Mid-term functional outcomes and return-to-sport rates after surgical repair require thorough evaluation.
Purpose of the Study:
- To assess objective and subjective functional results after proximal hamstring tendon repair.
- To evaluate patient return to sports and isokinetic strength at mid-term follow-up.
Main Methods:
- 16 proximal hamstring tendon ruptures were surgically repaired in 15 patients.
- Mid-term follow-up (mean 56 months) included clinical examination and validated outcome scores (Lysholm, Tegner, UCLA, WOMAC, VAS).
- Isokinetic strength testing of both legs was performed using a rotational dynamometer.
Main Results:
- Validated scores indicated a return to pre-injury activity levels for most patients.
- Isokinetic strength measurements showed no significant difference between the operated and uninjured legs (p>0.094).
- No significant differences in the type or frequency of sports participation were observed post-surgery (p>0.05).
Conclusions:
- Surgical repair of proximal hamstring tendon ruptures yields consistently good mid-term functional results.
- Patients achieve comparable isokinetic strength and return to their previous level of sports activity.
