Purpose
To evaluate the short-term outcomes of endoscopic proximal hamstring repair including
clinical outcomes, patient-reported outcomes, and complications.
Methods
A retrospective analysis was performed on consecutive patients who underwent endoscopic
proximal hamstring repair from 2013–2018 by a senior sports medicine orthopaedic surgeon.
Demographic, operative, clinical data, complications, and patient-reported outcomes
were collected and analyzed including the International Hip Outcome Tool-12 (iHOT-12),
Single Assessment Numeric Evaluation (SANE), modified Harris Hip Score (mHHS), and
the Hip Outcome Score activities of daily living scale (HOS-ADL).
Results
Thirty patients were included with a minimum 24.0- and average 44.0-month follow-up.
The average age was 52.0 years (standard deviation [SD], 14.2), and 80.0% (n = 24)
were women. Most patients presented with a history of refractory insertional tendinosis
(83.3%, n = 25) and an average of 34.0 months of symptoms prior to surgical intervention.
Two-year patient-reported outcomes were clinically acceptable with a postoperative
iHOT-12 of 81.9 (SD, 21.1), SANE 78.8% (SD, 20.0), mHHS 89.6 (SD 13.4), and HOS-ADLs
87.2% function (SD, 15.9). Nine patients (30%) had available preoperative iHOT-12
scores. Among these patients, the mean increase in iHOT-12 was 46.3 (P = .0005; n = 9). Eighty percent (n = 24) of patients achieved the iHOT-12 patient
acceptability symptomatic state. Complications (3%) included 1 atraumatic rerupture.
Four patients participated in an organized sport and 18 in recreational sport with
a return to play of 100% and 72.2%, respectively. All patients returned to work. Some
76.7% (n = 23) of patients reported return to their baseline level of physical activity,
and 73.3% (n=22) of patients reported complete resolution of pain at last follow-up.
There was a 90.0% (n=27) satisfaction rate.
Conclusions
Short-term follow-up for endoscopic proximal hamstring repair shows high patient satisfaction
(90.0%) and clinically significant patient-reported outcomes with minimal residual
pain and a low complication rate (3%).
Level of Evidence
IV, retrospective case series.
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Article info
Publication history
Published online: April 19, 2021
Accepted:
March 29,
2021
Received:
September 5,
2020
Footnotes
See commentary on page 3286
The authors report the following potential conflicts of interest or sources of funding:
B.C.L. reports that he is a Board or committee member of the American Orthopedic Society for Sports Medicine and the Arthroscopy Association of North America. R.C.M. reports personal fees from KNG Health Consulting, non-financial support and other from Reflexion Health, personal fees from Stryker, non-financial support and other from Zimmer, outside the submitted work, and relationships and activities with Arthroscopy Association of North America, Board or committee member; KNG Health Consulting, paid consultant; North Carolina Orthopaedic Association, Board or committee member; Stryker, paid consultant; and Zimmer, research support. Full ICMJE author disclosure forms are available for this article online, as supplementary material.
Identification
Copyright
© 2021 Published by Elsevier on behalf of the Arthroscopy Association of North America
