Minimal-invasive endoskopische Rekonstruktion der proximalen Hamstring-Insertion

Schröder, Jörg; Geßlein, Markus; Schütz, Michael; Perka, Carsten; Krüger, David

doi:10.1007/s00064-018-0575-3

Cited by 12 publications

(4 citation statements)

References 34 publications

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“…In a study of 12 patients at mean follow-up of 25 months, favorable outcomes were demonstrated, with all patients reporting visual analog scale (VAS) for pain scores of zero, as well as all patients returning to their original level activity at an average time of 6.5 months. 12 Additionally, no complications were noted within this cohort. In another endoscopic hamstring repair study, the outcomes of 20 patients at mean follow-up of 23 months demonstrated significant patient-reported outcome (PRO) improvements from preoperative to postoperative time points.…”

Section: Discussionmentioning

confidence: 73%

Endoscopic Partial Proximal Hamstring Repair

Capurro

Chapman

Kaplan

et al. 2023

Arthroscopy Techniques

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Section: Discussionmentioning

confidence: 73%

Endoscopic Partial Proximal Hamstring Repair

Capurro

Chapman

Kaplan

et al. 2023

Arthroscopy Techniques

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“…It reflects the perspective of the patient and is easily administered and time-saving for the patient and the investigator. Although the subjective hip value has been used to report on results after hip arthroscopy, cartilage implantation of the hip and muscular reconstructions of the hip abductors, it has never been evaluated before [42][43][44][45][46][47][48][49][50]. We could show a high and statistically significant correlation between the subjective hip value and established hip measures such as the modified Harris hip score and the International Hip Outcome Tool.…”

Section: Discussionmentioning

confidence: 86%

“…The subjective hip value was used earlier to report on results after hip preservation surgery, but has not been evaluated before [42][43][44][45][46][47][48][49][50].…”

Section: Introductionmentioning

confidence: 99%

Correlation of the Subjective Hip Value with Validated Patient-Reported Outcome Measurements for the Hip

Krueger¹,

Leopold

Schroeder

et al. 2020

JCM

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Background: The subjective hip value (SHV) was developed as a patient-reported outcome measurement (PROM) that is easily and quickly performed and interpreted. The SHV is defined as a patient’s subjective hip measurement tool expressed as a percentage of an entirely normal hip joint, which would score 100%. The hypothesis is that results of the subjective hip value correlate with the results of the modified Harris hip score and the International Hip Outcome Tool in patients with hip-related diseases. Methods: 302 patients completed the modified Harris hip score (mHHS), the International Hip Outcome Tool (iHot-33) as well as the SHV. The SHV consist of only one question: “What is the overall percent value of your hip if a completely normal hip represents 100%?”. The patients were divided into five different groups depending on the diagnosis. Pearson correlation was used to evaluate the correlation between the different PROMs and linear regression analysis was used to calculate R2. Results: 302 complete datasets were available for evaluation. There was a high correlation between the SHV and the iHOT-33 (r = 0.847; r2 = 0.692, p < 0.001) and the mHHS (r = 0.832; r2 = 0.717, p < 0.001). The SHV showed a medium (r = 0.653) to high (r = 0.758) correlation with the mHHS and the iHOT-33 in all diagnosis groups. Conclusion: The SHV offers a useful adjunct to established hip outcome measurements, as it is easily and quickly performed and interpreted. The SHV reflects the view of the patient and is independent of the diagnosis. Further research with prospective studies is needed to test the psychometric properties of the score.

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“…Endoscopic repair of proximal hamstring avulsion injuries was first described by Dierckman et al 2 in 2012 with a few additional modified techniques outlined 1,3-5 and only 1 report of outcomes, in German. 11 Similar to the inherent challenges of any new arthroscopy technique, there is a steep learning curve, with sufficient repetition required for mastery. Here, we build on the techniques developed by pioneers in this area and present a modified endoscopic technique with the goal to instruct how to perform a safe and anatomic repair of proximal hamstring injuries.…”

Section: Treatment Optionsmentioning

confidence: 99%

Endoscopic Proximal Hamstring Tendon Repair for Nonretracted Tears: An Anatomic Approach and Repair Technique

Fletcher

Lau

Mather

2020

Arthroscopy Techniques

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Proximal hamstring injuries are common, and open surgical repair with suture anchors has been the gold standard when surgical intervention is warranted. Endoscopic techniques offer the opportunity of surgical repair with smaller incisions to limit complications and expedite rehabilitation. The purpose of this technique guide is to describe a modified endoscopic technique that allows a safe and anatomic repair of proximal hamstring injuries. The patient is positioned prone with the feet at the head of the bed, table in reverse Trendelenburg, and knees flexed to 90 . Four portals are used, 3 in horizontal alignment within the gluteal fold and 1 directly superior to the ischial tuberosity. The sciatic nerve is identified, dissected, and mobilized away from the operative field. Retraction sutures help retract the gluteus maximus and further protect the sciatic nerve. Dissection is within the interval between the conjoint and semimembranosus tendons. The tendons are freed and mobilized, the ischial tuberosity is decorticated, and an anatomic repair is performed via 4 suture anchors, 2 at each tendon footprint. Advancements in arthroscopy have permitted adequate visualization and exposure of the hamstring footprint, thus allowing for an anatomic repair with increased protection of the sciatic nerve and decreased resources and cost.

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Minimal-invasive endoskopische Rekonstruktion der proximalen Hamstring-Insertion

Cited by 12 publications

References 34 publications

Endoscopic Partial Proximal Hamstring Repair

Endoscopic Partial Proximal Hamstring Repair

Correlation of the Subjective Hip Value with Validated Patient-Reported Outcome Measurements for the Hip

Endoscopic Proximal Hamstring Tendon Repair for Nonretracted Tears: An Anatomic Approach and Repair Technique

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