Summary: Compare pain relief and functional outcomes in young (<50 years of age) versus older (>50 years of age) after primary proximal hamstring repair

Background

The majority of proximal hamstring tendon tears are treated conservatively with non-operative management. However, patients with certain injury patterns or failure of conservative management may benefit from operative intervention that leads to improved clinical outcomes. The majority of these outcomes have been reported in young and middle aged patients. We hypothesized that patients aged 50 years and older, who undergo primary proximal hamstring repair, would benefit from similar clinical improvements without an increased risk of complications when compared to younger patients.

Methods

A retrospective analysis of prospectively collected data was performed using our institution’s research database. All patients who underwent primary proximal hamstring tendon repair between 2015 and 2019 by a single surgeon were evaluated. Patients were grouped into younger (age 16 – 49 years) and older (age > 50 years) age cohorts. The primary outcome was patient reported pain (Visual Analog Scale score, VAS). Pre- and post-operative VAS scores were compared between the two cohorts at an average follow-up of 26.3 months. Complications, satisfaction, and return to function were also compared at a minimum of 1-year follow-up.

Results

A total of 54 patients met the inclusion criteria for this study. The younger cohort included 24 patients (5 male, 19 female) while the older cohort included 30 patients (8 male, 22 female). There were no significant differences in patient characteristics between groups except for age (40.5 years versus 57.8 years, p < .01) At final follow-up, post-operative pain scores were significantly improved in both younger and older patient cohorts compared to pre-operative values (6 ± 1.3 to 1.3 ± 1.5 and 7.6 ± 1.5 to 1.4 ± 2, respectively, p < .001). Older patients had a more significant reduction in pain compared to younger patients after surgical repair (-6.2 ± 2.1 versus -4.75 ± 1.9, p = .01). There was no significant difference in complication rates between groups. Patient satisfaction and return to function was greater than 93% in both groups.

Conclusion

Patients aged 50 and older obtain at least equivalent if not better improvements in functional outcome and pain relief after primary proximal hamstring tendon repair compared to their younger counterparts. Older patients are not at an increased risk for surgical complications after primary hamstring tendon repair.

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Endoscopic Shelf Acetabuloplasty Concomitant With Labral Repair, Cam Osteoplasty, And Capsular Plication For Treating Artistic Dancers In The Setting Of Acetabular Dysplasia: A Case Series Abstract Presentation 4 minutes Soshi Uchida, MD, PhD, JAPAN Yoichi Murata, MD, JAPAN Hajime Utsunomiya, MD, PhD, JAPAN Tsukamoto Manabu, MD, PhD, JAPAN Akihisa Hatakeyama, MD, JAPAN Shiho Kanezaki, MD, PhD, JAPAN Akinori Sakai, MD, PhD, JAPAN
Risk Factors For Early Conversion To Hip Arthroplasty Following Hip Arthroscopy: A Matched Cohort Analysis Abstract Presentation 4 minutes Joseph J. Ruzbarsky, MD, UNITED STATES Max Seiter, MD, UNITED STATES Rui Soares, BS, UNITED STATES Lauren Pierpoint, PhD, UNITED STATES Karen K. Briggs, MPH, MBS, UNITED STATES Marc J. Philippon, MD, UNITED STATES
Treatment Modalities And Outcomes Following Acetabular Fractures In The Elderly: A Systematic Review Abstract Presentation 3 minutes Brian McCormick, MD, UNITED STATES Joseph Serino, MD, UNITED STATES Sebastian Orman, MD, UNITED STATES Alex R. Webb, MD, UNITED STATES David X. Wang, MD, UNITED STATES Sharri Mortenson, MD, UNITED STATES Arvind Von Keudell, MD, UNITED STATES
Segmental Labral Reconstruction With A Polyurethane Scaffold: Assessment Of Femoro-Acetabular Contact Mechanics Abstract Presentation 5 minutes Bruno Capurro, MD, PhD., SPAIN Marc Tey, MD, PhD., SPAIN Francisco Reina, MD, PhD, SPAIN Anna Carrera, MD, PhD., SPAIN Mauricio Gidi, MD, SPAIN Joan Carles Monllau, MD, PhD, Prof., SPAIN
Alpha Angle More Useful Than Femoral Head-Neck Offset to Predict Intra-Articular Damage in Patients with FAI Undergoing Hip Arthroscopy Abstract Presentation 5 minutes Jacob Shapira, MD, UNITED STATES Jade S Owens, BS, UNITED STATES David R. Maldonado, MD, UNITED STATES Philip Joseph Rosinsky, MD, UNITED STATES Hari Krishna Ankem, MD, UNITED STATES Bezalel Peskin, MD, ISRAEL Ajay C. Lall, MD, MS, FAAOS, UNITED STATES Benjamin G. Domb, MD, UNITED STATES
Long Term Outcomes After Arthroscopic Treatment Of Femoroacetabular Impingement For Patients With Borderline Dysplasia Abstract Presentation 4 minutes Ryan S. Selley, MD, UNITED STATES Molly A Day, MD, UNITED STATES Reena Olsen, BS, UNITED STATES Stephanie S Buza, MD, UNITED STATES Bryan T. Kelly, MD, UNITED STATES Anil S. Ranawat, MD, UNITED STATES Danyal H. Nawabi, MD, FRCS(Orth), UNITED STATES
Natural History Of Femoroacetabular Impingement: Using Machine Learning To Evaluate Risk Factors For Osteoarthritis In A Large Geographic Population Over The Long-Term Abstract Presentation 5 minutes Ayoosh Pareek, MD, UNITED STATES Sunho Ko, MD, KOREA, NORTH Heath Melugin, MD, UNITED STATES Changwung Jo, MD, KOREA, REPUBLIC OF Ryan R Wilbur, BS, UNITED STATES Bryant M. Song, MS, UNITED STATES Aaron J. Krych, MD, UNITED STATES
A Comparison Of Perioperative Outcomes Between Patients Who Underwent Hip Arthroscopy With And Without The Pericapsular Nerve Group Block ePoster Presentation Albert A Yusupov, MD, UNITED STATES Iciar M Davila Castrodad, MD, UNITED STATES Matthew J. Kraeutler, MD, UNITED STATES Christopher J Mazzei, MD, UNITED STATES Stephen A. Hunt, MD Kimberly V Tucker, MD, UNITED STATES Anthony Scillia, UNITED STATES Patrick A Armstrong, MD, UNITED STATES Mathew S Chow, MD, UNITED STATES Richard A Stennett, MD, UNITED STATES James C Wittig, MD
Can Hip Pain Be Treated With Tibial Malrotation Correction? Abstract Presentation 5 minutes Vitali Goriainov, FRCS (Orth), BM, PhD, MSc, UNITED KINGDOM Mohamed Zubair Farook, MBBS, D.Ortho, FRCS (Orth), UNITED KINGDOM Rajiv Kaila, MRCS, MSc, MFSEM(UK), FEBOT, UNITED KINGDOM Tom CB Pollard, MD, FRCS (Tr & Orth), UNITED KINGDOM Antonio J. M. D. Andrade, MB BS, M.Sc., FRCS(Tr&Orth), UNITED KINGDOM
Efficacy Of Enoxaparin As A Thromboprophylactic Agent In Major Lower Limb Orthopedic Surgeries. ePoster Presentation Raghavendra Raju, MBBS,MS, INDIA Prasad Soraganvi, MBBS, MS, DNB, MRCS, SICOT-dip, INDIA
A Systematic Review Of Terminology, Surgical Techniques, Preoperative Diagnostic Measures, And Geographic Differences In The Treatment Of Athletic Pubalgia/Sports Hernia/Core Muscle Injury/Inguinal Disruption ePoster Presentation Matthew J. Kraeutler, MD, UNITED STATES Omer Mei-Dan, MD, UNITED STATES John W. Belk, BA, UNITED STATES Christopher M. Larson, MD, UNITED STATES Toghrul Talishinskiy, MD, UNITED STATES Anthony Scillia, UNITED STATES

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Outcomes of Proximal Hamstring Tendon Repair in Patients Older than 50 Years of Age

Outcomes of Proximal Hamstring Tendon Repair in Patients Older than 50 Years of Age

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Outcomes of Proximal Hamstring Tendon Repair in Patients Older than 50 Years of Age

Outcomes of Proximal Hamstring Tendon Repair in Patients Older than 50 Years of Age

Background

Methods

Results

Conclusion

More ISAKOS 2021: Global Content