Barnett A J, Negus J J, Barton T, Wood D G
North Sydney Orthopaedic and Sports Medicine Centre, Mater Clinic, 25 Rocklands Road, Sydney, NSW, 2060, Australia,
Knee Surg Sports Traumatol Arthrosc. 2015 Jul;23(7):2130-5. doi: 10.1007/s00167-013-2817-0. Epub 2014 Jan 14.
To assess the subjective and functional outcome in complete and partial injuries, both acute and chronic.
One hundred and thirty-two consecutive proximal hamstring reattachments were performed by a single surgeon between 1999 and 2009. The mean age at the time of operation was 42.5 years (SD 12.2), the mean duration of follow-up was 53.8 months (SD 19.5), and all patients with a minimum 2-year follow-up were included in the study. Patients were reviewed independently. Functional outcome was evaluated using quantitative assessments of pre-operative and postoperative hamstring strength and endurance, while subjective outcome was undertaken at the latest follow-up using a three-tier questionnaire.
The most common cause of injury was waterskiing (29 patients). There were 96 complete injuries and 36 partial injuries. Overall, 112 of 132 patients rated their result as good/excellent, 91 had returned to their pre-injury level of sporting activity, and 114 said that they would undergo surgery again. Mean postoperative hamstring strength was 83 %, and mean hamstring endurance was 108 % compared to the contralateral limb. Patients with complete injuries and those operated and those operated on acutely (<6 weeks) were more likely to have a good/excellent result. There was no significant correlation between time to repair, type of injury (partial vs. complete) and functional outcome.
Good to excellent results can be expected in the majority of patients, following surgical reattachment. Surgery is well tolerated with the vast majority of patients, reporting that they would undergo surgery again.
IV.
评估急性和慢性完全性及部分性损伤的主观和功能结局。
1999年至2009年间，由一名外科医生连续进行了132例近端腘绳肌重新附着手术。手术时的平均年龄为42.5岁（标准差12.2），平均随访时间为53.8个月（标准差19.5），所有至少随访2年的患者均纳入研究。对患者进行独立评估。功能结局通过术前和术后腘绳肌力量及耐力的定量评估来评价，而主观结局则在最近一次随访时使用三级问卷进行评估。
最常见的损伤原因是滑水（29例患者）。有96例完全性损伤和36例部分性损伤。总体而言，132例患者中有112例将其结果评为良好/优秀，91例已恢复到受伤前的体育活动水平，114例表示他们会再次接受手术。与对侧肢体相比，术后腘绳肌平均力量为83%，平均耐力为108%。完全性损伤患者以及急性（<6周）接受手术的患者更有可能获得良好/优秀的结果。修复时间、损伤类型（部分性与完全性）与功能结局之间无显著相关性。
手术重新附着后，大多数患者可预期获得良好至优秀的结果。手术耐受性良好，绝大多数患者表示会再次接受手术。
四级。
