[Open repair of proximal hamstring tears]

Abstract

Objective: Surgical refixation intends to restore the continuity of the hamstrings and anatomically reattach the torn tendons.

Indications: In patients with 2‑tendon tear/ruptur with more than 2 cm retraction or with complete 3‑tendon tears, surgical fixation should be performed.

Contraindications: Massive obesity, immobility.

Surgical technique: Surgery is performed via a transverse skin incision in the gluteal fold. Refixation of the torn tendons is achieved by means of suture anchors on the footprint of the ischial tuberosity.

Postoperative management: Postoperative treatment should be performed with a hip joint orthosis for 6 weeks, accompanied by physiotherapy.

Results: Regarding surgical treatment, positive results are clearly described in the literature. Of the 31 patients who underwent surgery between 2010 and 2018, 90 % were satisfied with the surgical results 1 year postoperatively and 75 % reached their previous activity level.

Keywords: Biceps femoris; Hamstring muscles; Hamstring tendons; Semitendinosus; Tendon injuries.