Acute Proximal Hamstring Rupture: Surgical Technique

Abstract

Acute proximal hamstring rupture is an increasingly recognized clinical entity in the physically active population. Its nonsurgical treatment may result in several complications, including muscle weakness and sciatic neuralgia. In this article, we present a technique for the repair of injury to the proximal hamstring tendons through a 4- to 5-cm incision across the gluteal crease. This provides both adequate accessibility to the ruptured hamstring tendons and good cosmesis after healing. The tendons are repaired to bone with the use of two to four double-loaded suture anchors. For initial postoperative management, the affected leg is placed in a hinged brace with limited weight bearing. The purpose of this article is to provide surgeons with a safe, reliable method for the repair of an acute complete rupture of the proximal hamstring tendons and postoperative rehabilitation of the patient.

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