Short-Term Outcomes Following Endoscopic Proximal Hamstring Repair.

Autor:	Kurowicki J; St. Joseph's University Medical Center, Department of Orthopaedic Surgery, Paterson, New Jersey, U.S.A., Novack TA; St. Joseph's University Medical Center, Department of Orthopaedic Surgery, Paterson, New Jersey, U.S.A., Simone ES; New Jersey Orthopaedic Institute, Wayne, New Jersey, U.S.A., Mease SJ; St. Joseph's University Medical Center, Department of Orthopaedic Surgery, Paterson, New Jersey, U.S.A., Festa A; St. Joseph's University Medical Center, Department of Orthopaedic Surgery, Paterson, New Jersey, U.S.A.; Hackensack Meridian School of Medicine at Seton Hall University, Department of Orthopaedic Surgery, Nutley, New Jersey, U.S.A., McInerney VK; St. Joseph's University Medical Center, Department of Orthopaedic Surgery, Paterson, New Jersey, U.S.A.; Hackensack Meridian School of Medicine at Seton Hall University, Department of Orthopaedic Surgery, Nutley, New Jersey, U.S.A., Scillia AJ; St. Joseph's University Medical Center, Department of Orthopaedic Surgery, Paterson, New Jersey, U.S.A.; Hackensack Meridian School of Medicine at Seton Hall University, Department of Orthopaedic Surgery, Nutley, New Jersey, U.S.A.. Electronic address: anthonyjscillia@gmail.com.
Jazyk:	angličtina
Zdroj:	Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association [Arthroscopy] 2020 May; Vol. 36 (5), pp. 1301-1307. Date of Electronic Publication: 2019 Dec 09.
DOI:	10.1016/j.arthro.2019.11.126
Abstrakt:	Purpose: The purpose of this study was to evaluate the outcomes of endoscopic proximal hamstring repair (ePHR), specifically: (1) functional and subjective outcomes, (2) effectiveness of treatment (preoperative-to-postoperative change), (3) complications, (4) acute versus chronic tears, and (5) partial versus complete tears. Methods: A retrospective case series of a single-surgeon database for all patients who underwent ePHR between November 2014 and January 2019 with a minimum 1-year follow-up (range, 12 to 48 months) was performed. Charts were analyzed for preoperative and postoperative passive range of motion (PROM), strength, VAS pain, UCLA activity, and modified Harris Hip Score (mHHS). Manual muscle strength testing based on standard grading scale of 0 to 5 was performed. Complications including re-tear of the repair site, infection, iatrogenic nerve injury, inability to return to work/sport at the same level as preinjury, persistent hamstring weakness, pain with sitting, and subsequent surgery were recorded. Results: We identified 20 ePHR (6 males, 14 females) with a mean age of 46 years (range, 18 to 63 years). At most recent follow-up, mean VAS pain was 1.85 (SD 2), UCLA activity was 8 (SD 2), mHHS was 90.6 (SD 10.5), and PROM hip flexion of 121.7° (SD 14.5°). Effectiveness of treatment demonstrated significant improvement in objective hamstring strength, hip flexion PROM by 17.3°, UCLA activity by 3, and VAS pain by 3 points. Subjective hamstring weakness was reported in 8 (42.1%) and persistent pain with sitting in 3 (15.8%). Return to work and sport were 100% and 95%, respectively. mHHS was significantly higher postoperatively in patients with complete versus partial tears (95.5 versus 85.7). Conclusion: Endoscopic proximal hamstring repair is an effective approach that provides patients significant improvement in pain and function. Level of Evidence: IV, Case Series. (Copyright © 2019 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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