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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Health Literacy in Periacetabular Osteotomy Procedure: A Quantitative Assessment of the Readability, Understandability and Actionability of Online Patient Education Material ePoster Presentation Alan Shamrock, MD, UNITED STATES Trevor Gulbrandsen, MD, UNITED STATES Burke Gao, MD, UNITED STATES Mary Kate Skalitzky, BA, UNITED STATES Robert W. Westermann, MD, UNITED STATES Michael C. Willey, MD, UNITED STATES
Can Hip Microinstability Be Predicted By Hip Range Of Motion Abstract Presentation 5 minutes Marc R. Safran, MD, Prof., UNITED STATES Justin Hopkins, MD, UNITED STATES Katia Elisman, BS, UNITED STATES Andrea Finlay, PhD, UNITED STATES Nicole Alexandria Segovia, BA, UNITED STATES
Comparison Of Pull-Out Strength Following Ligamentum Teres Reconstruction In The Hip: Peek Corkscrew Suture Anchor Versus Cortical Button Fixation: A Cadaveric Study. Abstract Presentation 5 minutes Ajay C. Lall, MD, MS, FAAOS, UNITED STATES Hari Krishna Ankem, MD, UNITED STATES Samantha Diulus, BS, UNITED STATES Benjamin G. Domb, 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
Characterizing the Incidence of Avascular Necrosis after Corticosteroid Injections of the Hip Abstract Presentation 5 minutes Nathan Varady, MD, MBA, UNITED STATES Paul F Abraham, BS, UNITED STATES Ahab Chopra, BA, UNITED STATES Michael Peter Kucharik, BS, UNITED STATES Wendy Madeline Meek, BBA, UNITED STATES Christopher T Eberlin, BS, UNITED STATES David Freccero, MD, UNITED STATES Eric L. Smith, MD, UNITED STATES Scott D Martin, MD, UNITED STATES
Labral Preserving Hip Arthroscopy and Bone Marrow Aspirate Injection for Patients with Symptomatic Labral Tears and Early Degenerative Changes Abstract Presentation 7 minutes Molly A Day, MD, UNITED STATES Kyle Hancock, MD, UNITED STATES Ryan S. Selley, MD, UNITED STATES Reena Olsen, BS, UNITED STATES Anil S. Ranawat, MD, UNITED STATES Benedict U. Nwachukwu, MD, MBA, UNITED STATES Bryan T. Kelly, MD, UNITED STATES Danyal H. Nawabi, MD, FRCS(Orth), UNITED STATES
The Quest For Optimal Femoral Anteversion Angle Measurements: A Comparative Advanced 3D Study Abstract Presentation 6 minutes Bert Van fraeyenhove, MD, BELGIUM Annemieke Van Haver, PhD, MSc, BELGIUM Jonas Grammens, MD, BELGIUM Gino Mestach, MD, BELGIUM Jeroen Verhaegen, MD, BELGIUM Peter Verdonk, MD, PhD, BELGIUM
Hip Arthroscopic Portals:A New Approach Through Accessory Portals Established Within 3Cm Around Anterolateral Portal ePoster Presentation Kiran Kumar Shah, MD, NEPAL
Not Every Hip Impingement Requires Hip Arthroscopy. 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
Can BMAC Application Safely Diminish Perioperative Pain In Patients Undergoing Hip Arthroscopy? Abstract Presentation 5 minutes Michael Peter Kucharik, BS, UNITED STATES Paul F Abraham, BS, UNITED STATES Mark R. Nazal, MPH, UNITED STATES Nathan Varady, MD, MBA, UNITED STATES Wendy Madeline Meek, BBA, UNITED STATES Stephen M Gillinov, AB, UNITED STATES Christopher T Eberlin, BS, UNITED STATES Scott D Martin, MD, UNITED STATES
Female Athletes Demonstrate Greater Improvement in Patient Reported Outcome Scores and Equal Return To Sport Rates Compared to Males After Hip Arthroscopy A Gender Based Matched Comparison of High-Level Athletes Abstract Presentation 4 minutes Andrew Jimenez, MD, UNITED STATES Rachel Glein, BS, UNITED STATES Kara Miecznikowski, BS, UNITED STATES Benjamin Saks, MD, UNITED STATES Hari Krishna Ankem, MD, UNITED STATES Payam William Sabetian, MD, GUATEMALA Benjamin G. Domb, MD, UNITED STATES
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

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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