Short-Term Outcomes Following Endoscopic Proximal Hamstring Repair

Kurowicki, Jennifer; Novack, Thomas A.; Simone, Erica S.; Mease, Samuel J.; Festa, Anthony; McInerney, Vincent K.; Scillia, Anthony J.

doi:10.1016/j.arthro.2019.11.126

Cited by 39 publications

(22 citation statements)

References 29 publications

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“…Both open and endoscopic repairs have been shown to produce excellent outcomes in the acute phase. 22,38,39 In the chronic setting, similar results have been reported by only a few case series studies. 6,20,36,40 Therefore, the purpose of the present study was to report minimum 2-year postoperative patient-reported outcome (PRO) and satisfaction scores from patients who underwent open or endoscopic repair of partial- and full-thickness chronic proximal hamstring tendon tears.…”

supporting

confidence: 80%

“…Lindner et al 27 published a single case report showing painless range of motion and return of strength in a 16-year-old female athlete. Kurowicki et al 22 showed significant improvement in pain and function in a case series of 20 patients undergoing proximal hamstring repair. Most of their patients presented within the acute phase (<4 weeks after symptom onset), with minimal complications noted.…”

Section: Discussionmentioning

confidence: 96%

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Outcomes of Open and Endoscopic Repairs of Chronic Partial- and Full-Thickness Proximal Hamstring Tendon Tears: A Multicenter Study With Minimum 2-Year Follow-up

et al. 2021

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Background: The preponderance of literature on the repair of proximal hamstring tendon tears focuses on the acute phase (<4 weeks). As such, there is a paucity of data reporting on the outcomes of chronic proximal hamstring tears. Purpose: To report minimum 2-year postoperative patient-reported outcome (PRO) scores, visual analog scale (VAS) for pain, and patient satisfaction from patients who underwent open or endoscopic repair of partial- and full-thickness chronic proximal hamstring tendon tears. Study Design: Case series study; Level of evidence, 4. Methods: Between April 2002 and May 2017, prospectively collected data from 3 tertiary care institutions were retrospectively reviewed for patients who underwent open and endoscopic repair of partial- and full-thickness chronic proximal hamstring tendon tears. Patients were included only if they had a chronic proximal hamstring tear (defined as ≥4 weeks from symptom onset to surgery). Patients were excluded if they had a tear treated <4 weeks after injury, underwent hamstring reconstruction, or claimed workers’ compensation. Patients who reported minimum 2-year follow-up for VAS, patient satisfaction, and the following PROs had their outcomes analyzed: the modified Hip Harris Score, Non-arthritic Hip Score, iHOT-12 (International Hip Outcome Tool), and Hip Outcome Score–Sports Specific Subscale. Results: Fifty patients (34 females and 16 males) were included in this study. There were 19 endoscopic repairs and 31 open repairs. Within the cohort, 52.0% had a full-thickness tendon tear on magnetic resonance imaging, and 48.0% had a partial tear. Average follow-up time was 58.07 ± 37.27 months (mean ± SD; range, 24-220 months). The mean age and body mass index of the group were 46.13 ± 13 years and 25.43 ± 5.14. The average time from injury to surgery was 66.73 weeks (range, 5.14-215.14 weeks). Average postoperative PROs were as follows: modified Hip Harris Score, 91.94 ± 9.96; Non-arthritic Hip Score, 91.33 ± 9.99; iHOT-12, 87.17 ± 17.54; Hip Outcome Score–Sports Specific Subscale, 87.15 ± 18.10; and VAS, 1.16 ± 1.92. Patient satisfaction was 8.22 ± 1.20. Conclusion: Patients who underwent open and endoscopic repairs for chronic partial- and full-thickness proximal hamstring tendon tears reported high PROs and satisfaction at a minimum 2-year follow-up with low rates of complications.

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supporting

confidence: 80%

Section: Discussionmentioning

confidence: 96%

Outcomes of Open and Endoscopic Repairs of Chronic Partial- and Full-Thickness Proximal Hamstring Tendon Tears: A Multicenter Study With Minimum 2-Year Follow-up

et al. 2021

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“…Endoscopic repair has gained popularity in the last 10 years, with good outcomes. 19 , 20 , 21 , 22 Even though it has its limitations and is a technically demanding surgery, open surgery is still needed for severely retracted complete tears. 6 , 23 Even in the setting of a chronic tears, endoscopic techniques with graft augmentation have been described.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Repair of Proximal Hamstring Insertion With Sciatic Nerve Neurolysis

Castillo-de-la-Peña

Wong

2022

Arthroscopy Techniques

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“…In a recent retrospective case series, Kurowicki et al . [ 25 ] evaluated the short-term outcomes of full endoscopic repair of proximal hamstring tear in a group of 20 patients. The authors demonstrated improvement in subjective and functional short-term outcomes.…”

Section: Discussionmentioning

confidence: 99%

“…[ 24 ] presented results of a mixed population of open repair (acute versus delayed repair). Kurowicki et al [ 25 ] presented results of a mixed population, in terms of tear characteristics (i.e. complete versus partial tear) and timing of endoscopic repair (delayed versus acute).…”

Section: Discussionmentioning

confidence: 99%

Combined endoscopic and mini-open repair of chronic complete proximal hamstring tendon avulsion: a novel approach and short-term outcomes

Factor

Khoury

Atzmon

et al. 2021

Journal of Hip Preservation Surgery

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To evaluate the outcome of a novel, combined endoscopic and mini-open repair (CEMR) of a chronic complete retracted proximal hamstring tendon avulsion (PHA). A retrospective case series of a single-surgeon database for all patients, with a minimum of 1-year follow-up, who underwent CEMR between July 2015 and September 2019 was performed. Patients were evaluated for their functional outcome using the Perth Hamstring Assessment Tool (PHAT). At the latest follow-up, patients were evaluated for their muscle strength, subjective satisfaction and post-operative complications. Twelve patients who underwent endoscopic surgery for chronic PHA were identified, of which seven patients underwent CEMR. After exclusion of one patient from the study due to an open claim for health insurance, six patients (five males) with a mean age of 48 years (range 20–61 years) were evaluated. The mean time from injury to surgery was 12 months (range 2–43 months). At a mean follow-up of 28 months (range 12–55 months), the average PHAT score was 73 (range 70–80). The mean subjective activity level percentage improved from 34 (range 20–50) pre-surgery to 81 (range 75–90) post-surgery. The mean strength of the quadriceps, hamstring at 30°, and hamstring at 90° of the operated leg compared to the uninjured leg did not differ significantly. One patient underwent adhesiolysis 1 year after the index procedure for treatment of subcutaneous adhesions. CEMR is a viable and safe option for the treatment of chronic complete proximal hamstring tears, with good to excellent short-term functional outcome. Level of evidence: IV.

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Short-Term Outcomes Following Endoscopic Proximal Hamstring Repair

Cited by 39 publications

References 29 publications

Outcomes of Open and Endoscopic Repairs of Chronic Partial- and Full-Thickness Proximal Hamstring Tendon Tears: A Multicenter Study With Minimum 2-Year Follow-up

Outcomes of Open and Endoscopic Repairs of Chronic Partial- and Full-Thickness Proximal Hamstring Tendon Tears: A Multicenter Study With Minimum 2-Year Follow-up

Endoscopic Repair of Proximal Hamstring Insertion With Sciatic Nerve Neurolysis

Combined endoscopic and mini-open repair of chronic complete proximal hamstring tendon avulsion: a novel approach and short-term outcomes

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