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Knee Surgery Sports Traumatology Arthroscopy· 2012Q1· Review

Total proximal hamstring ruptures: clinical and MRI aspects including guidelines for postoperative rehabilitation

Carl M. Askling, George C. Koulouris, Tönu Saartok, Suzanne Werner et al.

Short summary

Early surgical repair (<2-3 weeks) followed by a specific rehabilitation program, avoiding postoperative bracing, is effective for total proximal hamstring ruptures, enabling a predictable healing timeline and return to sport.

AI-generated from the title and abstract; the full text is not read.

Key points

  • Early surgical refixation (<2-3 weeks) is crucial for total proximal hamstring ruptures.
  • A specific postoperative rehabilitation program, avoiding bracing, has shown effectiveness in over 200 patients.
  • The described approach facilitates a predictable healing timeline and return to sport.
  • One re-rupture occurred 7 months post-surgery within the described rehabilitation program.

AI-generated from the title and abstract; the full text is not read.

Abstract

The aim of this article is to provide a state-of-the-art review for treatment of acute, total proximal hamstring tendon ruptures. For total proximal hamstring tendon ruptures, early (<2-3 w) surgical refixation minimizes muscle atrophy and facilitates a somewhat predictable time course for healing and rehabilitation. A postoperative rehabilitation program is detailed that has been used by one physical therapist for the past 7 years on over 200 patients with surgical repair for total proximal hamstring tendon rupture. One re-rupture has occurred, 7 months after surgery, following the rehabilitation program described herein. The rehabilitation program, including avoidance of postoperative bracing, appears effective for total proximal hamstring ruptures. Early surgery together with a specific rehabilitation program appears to be the treatment of choice for timely and safe return to sport and an active lifestyle. Level of evidence V.

The authors' abstract, as published at the source. Knee Surgery Sports Traumatology Arthroscopy, 2012 · DOI ↗

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Field: Orthopedics and Sports Medicine

Orthopedics and Sports MedicineMedicine