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[Minimally invasive proximal hamstring insertion repair].

J H Schröder1, M Gesslein2, M Schütz3

  • 1Centrum für Muskuloskeletale Chirurgie, Charité - Universitätsmedizin Berlin, Campus Virchow-Klinikum, Augustenburger Platz 1, 13353, Berlin, Deutschland. joerg.schroeder@charite.de.

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|November 17, 2018
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Summary
This summary is machine-generated.

Endoscopic reconstruction effectively treats proximal hamstring avulsion injuries, restoring function and activity levels. This minimally invasive approach offers excellent outcomes with minimal complications.

Keywords:
Endoscopic surgical procedureHamstring tendonsOutcomeReturn to sportTendon injuries

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Minimally Invasive Procedures

Background:

  • Proximal hamstring avulsion injuries can lead to persistent weakness and pain, significantly impacting function.
  • Conservative treatment may fail for retracted or chronic partial hamstring insertion injuries.

Purpose of the Study:

  • To evaluate the efficacy of minimally invasive endoscopic reconstruction for proximal hamstring insertion avulsion injuries.
  • To assess functional recovery, pain reduction, and return to activity levels post-surgery.

Main Methods:

  • Endoscopic refixation of 2- and 3-tendon avulsions using suture anchors.
  • Preparation of the tuber ischiadicum footprint and protection of the sciatic nerve during the procedure.
  • Postoperative management included protected weight-bearing and a structured exercise program.

Main Results:

  • 12 patients underwent endoscopic reconstruction with a mean follow-up of 25 months.
  • Excellent functional outcomes were reported, with an average Visual Analog Scale (VAS) pain score of 0 and Subjective Hip Value of 94%.
  • All patients returned to their pre-injury activity and occupation levels, with a mean return to sport at 6.5 months, and no neurovascular complications were observed.

Conclusions:

  • Minimally invasive endoscopic reconstruction is a safe and effective treatment for proximal hamstring avulsion injuries.
  • The procedure leads to significant pain relief, functional restoration, and allows patients to return to high activity levels.
  • Endoscopic repair offers a viable alternative to open surgery for these debilitating injuries.