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Related Experiment Video

Updated: Jan 18, 2026

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The Endoscopic-to-Open Proximal Hamstring Repair Technique for Chronic, High-Grade Tears.

Nicholas J Lemme1, Eric Y Hu1, Jesus E Cervantes1

  • 1Section of Young Adult Hip Surgery, Division of Sports Medicine, Department of Orthopedic Surgery, Rush Medical College of Rush University, Rush University Medical Center, Chicago, Illinois, U.S.A.

Arthroscopy Techniques
|September 12, 2025
PubMed
Summary

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This study introduces an endoscopic-to-open technique for proximal hamstring tears, combining endoscopic visualization with open repair benefits. This approach addresses challenges in treating larger tears, improving surgical outcomes.

Area of Science:

  • Orthopedic Surgery
  • Sports Medicine

Background:

  • Open repair is the traditional method for proximal hamstring tears.
  • Endoscopic approaches offer minimally invasive benefits, including enhanced visualization.
  • Challenges remain for large or retracted tears with purely endoscopic methods.

Purpose of the Study:

  • To describe and evaluate the endoscopic-to-open technique for proximal hamstring tear repair.
  • To combine the visualization advantages of endoscopy with the access of open surgery.

Main Methods:

  • Patients are positioned prone with knee flexion.
  • Posterior and posterolateral portals are used for endoscopic preparation (ischial bursectomy, footprint preparation, anchor placement).
  • An interposing skin incision allows for open tendon access, mobilization, and repair using a docking technique.

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Main Results:

  • The technique allows for ischial tuberosity preparation via endoscopy.
  • It provides open surgical access for tendon mobilization and repair tensioning.
  • Final arthroscopic visualization ensures neurovascular structure protection.

Conclusions:

  • The endoscopic-to-open technique offers a hybrid approach for proximal hamstring tears.
  • It leverages endoscopic visualization for preparation and open access for complex repairs.
  • This method may enhance treatment for challenging proximal hamstring avulsions.