Abstract
Hamstring injuries are common, especially among athletes. A complete rupture of the
proximal hamstring muscles requires surgical intervention. In this report we describe
a reconstruction method for a complete proximal hamstring rupture using fascia lata
autograft augmentation in addition to suture anchors. This method can be advocated
in cases in which the primary repair has failed or in chronic injuries where a large
defect between the distally retracted tendons and the ischial tuberosity prevents
anatomic reinsertion. In our technique, a muscle-tendon flap is first created from
the retracted tendon stump, turned proximally, and fixed to the ischial tuberosity
by suture anchors. The fascia lata graft is then fixed from the midpart to the ischial
tuberosity via the same sutures. The other sleeve of the graft is folded on the ventral
side of the ruptured tendon stump and fixed by use of absorbable sutures. Then the
other sleeve is folded on the dorsal side and fixed in the same manner. Finally, the
fixation can still be reinforced with additional absorbable sutures passing through
both sleeves of the graft, as well as the muscle-tendon bridge and the tendon stump.
Key Words
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References
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Article info
Publication history
Published online: January 08, 2007
Footnotes
Supported by the Satakunta Central Hospital District and the Finnish Cultural Foundation. The authors report no conflict of interest. Research was performed at Mehiläinen Sports Trauma Research Center, Mehiläinen Hospital and Sports Clinic, Turku, Finland.
Cite this article as: Lempainen L, Sarimo J, Orava S. Recurrent and chronic complete ruptures of the proximal origin of the hamstring muscles repaired with fascia lata autograft augmentation. Arthroscopy 2007;23:441.e1-441.e2 [doi:10.1016/j.arthro.2006.07.044].
Identification
Copyright
© 2007 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.
