Fixation of the Proximal Hamstring Tendon Using an All-Suture Tensionable Knotless Technique
Authors: Maldonado DR, Annin S, Lall AC, Krych AJ, Athey AG, Spinner RJ, Hartigan DE, Emblom BA, Ryan MK, Domb BG
Background:
Chronic proximal hamstring tendon tears can cause persistent pain and functional limitations. There is limited data on outcomes of repair in cases where treatment is delayed.
Methods:
This multicenter study evaluated patients with chronic partial- or full-thickness proximal hamstring tears who underwent either open or endoscopic repair. Patient-reported outcomes, pain levels, and satisfaction were assessed at a minimum 2-year follow-up, with mean follow-up exceeding 5 years.
Key Findings:
Both open and endoscopic repair techniques yielded excellent long-term outcomes with high patient satisfaction and low complication rates.
Conclusions:
Chronic proximal hamstring tears can be effectively managed with either open or endoscopic repair, resulting in durable improvements in pain and function.
What Does This Mean for Providers?
Providers should consider both open and endoscopic repair approaches as viable options for managing chronic proximal hamstring tendon tears, even in cases with delayed presentation. Treatment selection can be tailored based on surgeon expertise and patient-specific factors, with expectation of favorable long-term outcomes.