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[Open repair of proximal hamstring tears].

A Partenheimer1, H Lill2

  • 1Praxis Spine + Sport, Herrenhäuser Kirchweg 38, 30167, Hannover, Deutschland. contact@spine-sport.de.

Operative Orthopadie Und Traumatologie
|November 23, 2019
PubMed
Summary

Surgical hamstring repair restores tendon continuity for significant tears. Most patients report satisfaction and return to prior activity levels after surgery and rehabilitation.

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Reconstructive Surgery

Background:

  • Hamstring tendon tears, particularly complete or retracted tears, can significantly impair function.
  • Anatomical reattachment of torn hamstring tendons is crucial for restoring hip function and mobility.

Purpose of the Study:

  • To outline the indications, contraindications, surgical technique, and outcomes of surgical hamstring repair.
  • To evaluate the effectiveness of surgical refixation for hamstring tendon tears.

Main Methods:

  • Surgical refixation is indicated for 2-tendon tears with >2 cm retraction or complete 3-tendon tears.
  • Contraindications include massive obesity and immobility.
  • The technique involves a gluteal fold incision and suture anchor fixation to the ischial tuberosity.
Keywords:
Biceps femorisHamstring musclesHamstring tendonsSemitendinosusTendon injuries

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Main Results:

  • Surgical repair demonstrated positive outcomes in the literature.
  • In a cohort of 31 patients, 90% reported satisfaction one year post-surgery.
  • 75% of patients regained their pre-injury activity level.

Conclusions:

  • Surgical refixation is an effective treatment for significant hamstring tendon tears.
  • The procedure leads to high patient satisfaction and functional recovery.
  • Postoperative management with bracing and physiotherapy is essential for optimal results.