A Novel Technique for Proximal Hamstring Tendon Repair: High Reoperation Rate in a Series of 56 PatientsReport as inadecuate




A Novel Technique for Proximal Hamstring Tendon Repair: High Reoperation Rate in a Series of 56 Patients - Download this document for free, or read online. Document in PDF available to download.

Advances in Orthopedic Surgery - Volume 2014 2014, Article ID 891875, 6 pages -

Clinical Study

Department of Orthopaedics, Royal Perth Hospital, Perth, WA 6000, Australia

Department of Orthopaedics, Mount Hospital, Perth, WA 6000, Australia

Perth Orthopaedics and Sports Medicine Centre, Perth, WA 6005, Australia

Received 11 September 2013; Revised 17 November 2013; Accepted 1 December 2013; Published 17 February 2014

Academic Editor: Federico Canavese

Copyright © 2014 William Blakeney et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

This investigation looked at functional outcomes, following a novel technique of surgical repair using table staples. Patients underwent surgery for proximal hamstring rupture with table staples used to hold the tendon reapproximated to the ischial tuberosity. Functional outcomes following surgery were assessed. We also used a combined outcome assessment measure: the Perth Hamstring Assessment Tool PHAT. A total of 56 patients with a mean age of 51 range 15–71 underwent surgery. The mean follow-up duration was 26 months range 8–59 months. A large proportion of patients 21-56, 37.5% required reoperation for removal of the staple. Patients that did not require removal of the table staple did well postoperatively, with low pain scores 0.8–2 out of 10 and good levels of return to sport or running 75.8%. Those that required removal of the staple had a significantly lower PHAT score prior to removal, 47.8, but this improved markedly once the staple was removed, with a mean of 77.2 . Although our patients achieved similar outcomes in terms of pain and function, we thought the reoperation rate was unacceptably high. We would not recommend proximal hamstring tendon repair using this technique.





Author: William Blakeney, Simon Zilko, Wael Chiri, and Peter Annear

Source: https://www.hindawi.com/



DOWNLOAD PDF




Related documents