Predictors of Clinical Outcomes After Proximal Hamstring Repair

Orthopaedic Journal of Sports Medicine
Eric N BowmanMichael B Banffy

Abstract

Proximal hamstring avulsions cause considerable morbidity. Operative repair results in improved pain, function, and patient satisfaction; however, outcomes remain variable. To evaluate the predictors of clinical outcomes after proximal hamstring repair. Case series; Level of evidence, 4. We retrospectively reviewed proximal hamstring avulsions repaired between January 2014 and June 2017 with at least 1-year follow-up. Independent variables included patient demographics, medical comorbidities, tear characteristics, and repair technique. Primary outcome measures were the Single Assessment Numerical Evaluation (SANE), International Hip Outcome Tool-12 (iHOT-12), and Kerlan-Jobe Orthopaedic Clinic (KJOC) Athletic Hip score. Secondary outcome measures included satisfaction, visual analog scale for pain, Tegner score, and timing of return to sports. Of 102 proximal hamstring repairs, 86 were eligible, 58 were enrolled and analyzed (67%), and patient-reported outcomes were available for 45 (52%), with a mean 29-month follow-up. The mean patient age was 51 years, and 57% were female. Acute tears accounted for 66%; 78% were complete avulsions. Open repair was performed on 90%. Overall satisfaction was 94%, although runners were less sat...Continue Reading

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Citations

Sep 22, 2019·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Markus IrgerMatthias J Feucht
Mar 3, 2020·The Bone & Joint Journal·Sofie R FrenchDavid G Wood
Aug 25, 2020·Case Reports in Orthopedics·Brent SandersonReza Jazayeri
Oct 28, 2019·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Lukas WillingerPhilipp Forkel
Oct 1, 2020·The Bone & Joint Journal·David WoodRajiv Kaila
Feb 24, 2021·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Bernardo Aguilera-BohórquezErika Cantor
Mar 9, 2021·Arthroscopy Techniques·Mathew J HamulaMichael Banffy
May 18, 2021·Orthopaedic Journal of Sports Medicine·Tara RezaMary K Mulcahey

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