[Open repair of proximal hamstring tears].

OBJECTIVE

Surgical refixation intends to restore the continuity of the hamstrings and anatomically reattach the torn tendons.

INDICATIONS

In patients with 2‑tendon tear/ruptur with more than 2 cm retraction or with complete 3‑tendon tears, surgical fixation should be performed.

CONTRAINDICATIONS

Massive obesity, immobility.

SURGICAL TECHNIQUE

Surgery is performed via a transverse skin incision in the gluteal fold. Refixation of the torn tendons is achieved by means of suture anchors on the footprint of the ischial tuberosity.

POSTOPERATIVE MANAGEMENT

Postoperative treatment should be performed with a hip joint orthosis for 6 weeks, accompanied by physiotherapy.

RESULTS

Regarding surgical treatment, positive results are clearly described in the literature. Of the 31 patients who underwent surgery between 2010 and 2018, 90 % were satisfied with the surgical results 1 year postoperatively and 75 % reached their previous activity level.