The Swedish School of Sport and Health Sciences, Stockholm, Sweden.
Knee Surg Sports Traumatol Arthrosc. 2013 Mar;21(3):515-33. doi: 10.1007/s00167-012-2311-0. Epub 2012 Dec 11.
The aim of this article is to provide a state-of-the-art review for treatment of acute, total proximal hamstring tendon ruptures. For total proximal hamstring tendon ruptures, early (<2-3 w) surgical refixation minimizes muscle atrophy and facilitates a somewhat predictable time course for healing and rehabilitation. A postoperative rehabilitation program is detailed that has been used by one physical therapist for the past 7 years on over 200 patients with surgical repair for total proximal hamstring tendon rupture. One re-rupture has occurred, 7 months after surgery, following the rehabilitation program described herein. The rehabilitation program, including avoidance of postoperative bracing, appears effective for total proximal hamstring ruptures. Early surgery together with a specific rehabilitation program appears to be the treatment of choice for timely and safe return to sport and an active lifestyle. Level of evidence V.
本文旨在提供急性、完全近端腘绳肌腱断裂治疗的最新综述。对于完全近端腘绳肌腱断裂，早期（<2-3 周）手术重新固定可最大限度地减少肌肉萎缩，并为愈合和康复提供相对可预测的时间进程。详细介绍了一个术后康复方案，该方案由一位物理治疗师在过去 7 年中用于 200 多名接受完全近端腘绳肌腱断裂手术修复的患者。在本文描述的康复方案后，有 1 例患者在手术后 7 个月再次发生断裂。包括避免术后支具固定在内的康复方案似乎对完全近端腘绳肌腱断裂有效。早期手术结合特定的康复方案似乎是及时、安全地恢复运动和积极生活方式的首选治疗方法。证据等级 V。
