About proximal hamstring repair

What is Proximal Hamstring Repair?
Proximal Hamstring Repair is a surgical procedure used to treat a proximal hamstring tear. Proximal Hamstring Tear is an injury to a group of four tendons located at the posterior (back) part of the thigh. These muscles support the femur and enable us to extend and flex our legs.

A Posterior Hamstring Tear occurs when one or more of the tendons tear away from the sitting bones (ischial tuberosity) in the pelvic bone. A partial or complete tear is caused by strenuous exercise; it is common in athletes who undertake sports like soccer, gymnastics, and water skiing, etc.

Through Proximal Hamstring Repair, a surgeon reattaches the torn tendon to the ischial tuberosity with an open or endoscopic surgical procedure.

Who Needs Proximal Hamstring Repair?
Surgeons recommend a Proximal Hamstring Repair under the following circumstances:

• The tear is diagnosed as a grade 2 or grade 3 tear. Surgeons will recommend non-surgical treatment options to patients if the tear is between 2-5 cm. There is a chance that this tear will heal naturally with the help of non-surgical treatments. However, a tear of more than 5cm will have to be treated surgically.

• The patient is young and active. Surgeons prefer to use surgical treatment on young and active as it gives them a greater and faster opportunity of recovery. A 2cm to 5cm tear takes months to heal naturally and may limit the functionality of the hamstring tendons

 
How is Proximal Hamstring Repair Performed?

Open Proximal Hamstring Repair technique
An open Proximal Hamstring Repair commonly involves the following steps:

• General anesthesia is administered to the patient.
• The surgeon makes an incision using the transverse or vertical distal incision approach.
• In a vertical distal approach, the incision is made along the gluteal crease.
• In the transverse approach, the incision is longitudinal from the gluteal fold.
• The surgeon dissects the sciatic nerve from the torn tendons.
• The surgeon curates and cleans the ischial tuberosity.
• The surgeon attaches the torn tendon to the ischial tuberosity with two Krackow-styled sutures, which are placed in an anchor inserted into the ischial tuberosity.
• The wound is sutured closed and bandaged.
• The leg is placed in a hip brace.
• The surgery is 90 mins long.

 

Endoscopic Proximal Hamstring Repair Technique
The endoscopic surgical procedure includes most of the same steps. However, instead of one big incision, the surgeon makes two small incisions in the gluteal fold. A camera is inserted through one incision, whereas tiny instruments are inserted through another. The surgeon uses the video displayed on the monitor screen by the camera to perform surgery.

The small instruments and incisions mean that muscles and tendons are moved minimally while performing the surgery; this allows for quicker healing.

However, in chronic or acute cases, open surgery is more suitable.

CMW is a state-of-the-art medical facility in New Jersey which provides safe and effective surgical treatment for orthopedic conditions.

At CMW, you will receive:

• Technologically savvy medical facility.
• Empathetic and responsive staff.
• Experienced orthopedic surgeons.
• Effective post-op care.

 

Increase your chances of a total proximal hamstring repair, Call CMW today.

Schedule an online consultation with our orthopedic specialist and avail effective, reliable, and best orthopedic treatments in NJ.