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Related Experiment Video

Updated: Jun 27, 2026

Knotless Independent Double-Row Repair and Biceps Augmentation for Anterosuperior Rotator Cuff Tears
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Knotless Independent Double-Row Repair and Biceps Augmentation for Anterosuperior Rotator Cuff Tears

Published on: January 23, 2026

Early Versus Delayed Repair of Proximal Hamstring Tendon Ruptures: A Systematic Review and Meta-analysis.

Muzammil Akhtar1, Marlena Ramanis2, Kory Pasko3

  • 1Department of Orthopaedic Surgery, Saint Joseph's Medical Center, Stockton, California, USA.

The American Journal of Sports Medicine
|June 26, 2026
PubMed
Summary
This summary is machine-generated.

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Performing proximal hamstring tendon repair within 4 to 6 weeks of injury offers similar patient-reported outcomes and a significantly lower risk of retear and sciatica. Early surgical timing is beneficial for these specific complications.

Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Biomechanical Engineering

Background:

  • Proximal hamstring tendon ruptures require prompt surgical repair to prevent complications.
  • The optimal timing for surgical intervention remains debated, impacting patient outcomes.
  • Previous studies on surgical timing have yielded inconsistent results.

Purpose of the Study:

  • To evaluate the clinical outcomes of early versus delayed surgical repair for primary proximal hamstring tendon ruptures.
  • To compare patient-reported outcomes and complication rates based on surgical timing.

Main Methods:

  • A systematic meta-analysis was conducted following PRISMA guidelines.
  • Searches were performed across PubMed, Embase, and Scopus databases.
  • Included studies compared early (4-6 weeks) versus delayed repair with ≥12 months follow-up.
Keywords:
groin painhip/pelvis/thighmuscle injuriestendinosis

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Last Updated: Jun 27, 2026

Knotless Independent Double-Row Repair and Biceps Augmentation for Anterosuperior Rotator Cuff Tears
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Published on: January 23, 2026

Main Results:

  • Twelve studies involving 1720 patients (992 early, 728 delayed) were analyzed.
  • Early repair showed significantly reduced risks of postoperative sciatica (RR 0.26) and retear (RR 0.51).
  • Patient-reported outcomes and other complication risks (numbness, infection, revision) were not significantly different.

Conclusions:

  • Surgical repair of proximal hamstring tendons within 4 to 6 weeks is associated with favorable outcomes.
  • Early repair significantly lowers the risk of sciatica and retear compared to delayed repair.
  • While patient-reported outcomes are largely similar, early intervention mitigates specific surgical risks.