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Open Proximal Hamstring Repair Yields Comparable Outcomes in Patients Older and Younger Than 60 Years
Isabelle C Bote1,2, Peter J Georgakas3, Evan A Glass1
1Boston Sports and Shoulder Center, Waltham, Massachusetts, U.S.A.
Summary
Proximal hamstring repair shows similar functional outcomes and return-to-sport rates in patients over 60 compared to younger individuals. This surgical option is viable for the aging population, offering comparable results to younger patients.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Geriatric Care
Background:
- Proximal hamstring tears often affect active individuals, necessitating surgical repair.
- The efficacy of proximal hamstring repair in older populations (≥60 years) requires further investigation compared to younger cohorts.
Purpose of the Study:
- To compare patient-reported outcome measures (PROMs) and return-to-sport rates after proximal hamstring repair in patients aged 60 and older versus those younger than 60.
Main Methods:
- Retrospective comparative case series of 55 patients undergoing proximal hamstring repair.
- Patients were stratified into two groups: under 60 (U-60) and 60 and older (O-60).
- PROMs (PHAT, LEFS, HOS, SF-12) and return-to-sport data were collected and analyzed.
Main Results:
- No significant differences in postoperative PROM scores were observed between the O-60 and U-60 groups.
- Return-to-sport rates were high in both groups (100% in O-60 vs. 82.9% in U-60), with no statistically significant difference.
- Outcomes remained comparable between age groups when analyzed separately for males and females.
Conclusions:
- Proximal hamstring repair is a viable and effective treatment for the aging population.
- Older patients (≥60) achieve similar functional outcomes and return-to-sport rates as younger patients following this procedure.
