Surgical technique: Open proximal hamstring repair

Joshua D. Harris, Shane J. Nho, Charles A. Bush-Joseph

Research output: Chapter in Book/Report/Conference proceedingChapter

1 Scopus citations

Abstract

The proximal hamstring is a common location for athletic injuries. A complete, three-tendon (semitendinosus, semimembranosus, long head biceps femoris) tear may occur in sports that involve eccentric contractions of the hamstrings with a rapid hip flexion and knee extension. Surgical treatment of multi-tendon tears with retraction in young active patients has demonstrated significantly better subjective and objective outcomes at short- and mid-term follow-up. A safe surgical approach is via the prone positioning, transverse or longitudinal skin incision, avoidance of the posterior femoral cutaneous nerve, exposure of the ischial tuberosity and proximal hamstring anatomic footprint, avoidance of the sciatic nerve (lateral to tuberosity), secure fixation via two or three double-loaded suture anchors, and meticulous hemostasis and closure. Chronic repair often requires extensive adhesiolysis, sciatic neurolysis, tendon mobilization, and possible allograft augmentation. Postoperative rehabilitation should avoid undue stress on the repair via avoiding hip flexion and knee extension.

Original languageEnglish (US)
Title of host publicationHip Arthroscopy and Hip Joint Preservation Surgery
PublisherSpringer New York
Pages915-920
Number of pages6
ISBN (Electronic)9781461469650
ISBN (Print)9781461469643
DOIs
StatePublished - Jan 1 2015

ASJC Scopus subject areas

  • Medicine(all)

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