[Open repair of proximal hamstring tears].

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.

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.