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Open Proximal Hamstring Repair Using All-Suture Anchors and Tension-Slide Fixation
Patrick Waldron1, Dustin Kress1, David Han1
1Advanced Orthopedics and Sports Medicine, San Francisco, California, U.S.A.
Arthroscopy Techniques
|January 16, 2026
Summary
Proximal hamstring avulsions can be repaired using a novel technique with all-suture anchors. This method provides strong fixation with minimal bone loss, benefiting active adults with hamstring injuries.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Biomaterials
Background:
- Proximal hamstring avulsions are common injuries in active adults.
- Open surgical repair is the current gold standard for these injuries.
- All-suture anchors offer a low-profile alternative to traditional fixation devices.
Purpose of the Study:
- To describe a reproducible surgical technique for proximal hamstring avulsions.
- To evaluate the use of all-suture anchors in a triangular tension-slide configuration.
- To highlight the advantages of this technique for specific patient populations.
Main Methods:
- A technical note detailing a surgical technique using three Q-Fix all-suture anchors.
- Anchors are placed in a triangular tension-slide configuration for fixation.
- The technique emphasizes direct visualization and sciatic nerve protection.
Main Results:
- The described technique provides strong anatomic fixation.
- It results in minimal implant burden and reduced bone loss.
- The method is adaptable for cases with tendon retraction or poor tissue quality.
Conclusions:
- All-suture anchors in a triangular tension-slide configuration offer an effective method for proximal hamstring avulsion repair.
- This technique is suitable for high-demand populations and challenging cases.
- It presents a viable alternative to traditional fixation methods.
