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Updated: Jul 11, 2025

A Novel Tenorrhaphy Suture Technique with Tissue Engineered Collagen Graft to Repair Large Tendon Defects

A Novel Tenorrhaphy Suture Technique with Tissue Engineered Collagen Graft to Repair Large Tendon Defects

Published on: December 10, 2021

Endoscopic Proximal Hamstring Tendon Repair With Knotless Suture-Bridge Technique.

Jim C Hsu¹, Christopher V Wilhelm¹

¹Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, Connecticut, U.S.A.

Arthroscopy Techniques

|November 9, 2023

Summary

Surgical repair of proximal hamstring tendon tears can now utilize a minimally invasive endoscopic technique. This knotless suture-bridge method may improve healing and reduce pain compared to traditional open surgery.

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Area of Science:

Orthopedic Surgery
Sports Medicine
Biomedical Engineering

Background:

Symptomatic proximal hamstring tendon tears often require surgical intervention.
Current surgical techniques typically involve open incisions and knot-tying.

Purpose of the Study:

To present an endoscopic, knotless, suture-bridge repair technique for proximal hamstring tendon tears.
To highlight potential advantages over traditional open repair methods.

Main Methods:

Description of a novel endoscopic surgical technique.
Utilizing a knotless suture-bridge construct for tendon repair.

Main Results:

The knotless technique offers simplicity in surgical execution.
Provides compression over a broad zone, potentially enhancing tendon-bone healing.
Elimination of knots and open incision may decrease postoperative pain.

Conclusions:

The endoscopic, knotless, suture-bridge repair is a viable alternative for proximal hamstring tendon tears.
This technique may offer benefits in terms of healing and patient comfort.