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Updated: Jul 11, 2025

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A Novel Tenorrhaphy Suture Technique with Tissue Engineered Collagen Graft to Repair Large Tendon Defects
Published on: December 10, 2021
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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.
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.

