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 Iliopsoas Lengthening For Treatment Of Recalcitrant Iliopsoas Tendinitis After Total Hip Arthroplasty Abstract Presentation 5 minutes Marc R. Safran, MD, Prof., UNITED STATES John Carlo Bonano, MD, UNITED STATES Christopher Jamero, MA, ATC, UNITED STATES Nicole Segovia Pham, MPH, UNITED STATES James I. Huddleston, MD, UNITED STATES
Snapping Hip Syndrome : An Uncommon Cause of Hip Pain ePoster Presentation Pollyanna Christine Ferreira Frazão, MD, PORTUGAL Rui Cardoso, MD, PORTUGAL Daniela Roque, MD, PORTUGAL Diogo Rocha Carvalho, Md, MsD, PORTUGAL André Santos, MD, PORTUGAL Sérgio Pita, MD, PORTUGAL Filipe Sá Malheiro, MD, PORTUGAL Tiago Pato, PORTUGAL Carlos Filipe Gonçalves João, MD, PORTUGAL Carlos Almeida, PORTUGAL
Endoscopic Iliotibial Band Release During Hip Arthroscopy For Femoroacetabular Impingement Syndrome And External Snapping Hip Had Better Patient-Reported Outcomes: A Retrospective Comparative Study Abstract Presentation 5 minutes 春宝李, 医学博士，博士, CHINA Shanxing Zhang, MD, CHINA
Cannabis Use Is Not Associated With Increased Opioid Use Or Costs After Hip Arthroscopy Abstract Presentation 5 minutes Christopher L. McCrum, MD, UNITED STATES Jacob Thomas Wood, BS, UNITED STATES Senthil Sambandam, MD, UNITED STATES
Labral Size Correlates With Increasing Intraarticular Damage At Time Of Arthroscopy In Borderline Dysplastic Patients ePoster Presentation Jacob Shapira, MD, UNITED STATES Jeffrey Chen, BA, UNITED STATES Mitchell Yelton, BS, UNITED STATES Philip Joseph Rosinsky, MD, UNITED STATES David R. Maldonado, MD, UNITED STATES Mitchell Meghpara, MD, UNITED STATES Ajay C. Lall, MD, MS, FAAOS, UNITED STATES Benjamin G. Domb, MD, UNITED STATES
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
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
“X-Square” Technique For Radial Meniscal Root Tear ePoster Presentation Winyou Ratanachai, MD.M Ch(Orth)., THAILAND Keerati Klinchanhom, MD, THAILAND
Mid-Term Outcome and Strength Assessment after Proximal Rectus-Femoris-Refixation in Athletes ePoster Presentation Maximilian Hinz, MD, GERMANY Stephanie Geyer, MD, GERMANY Felix Winden, Cand Med, GERMANY Alexander Braunsperger, B.Sc., GERMANY Florian Kreuzpointner, PhD, GERMANY Benjamin Daniel Kleim, MBBS, MD, MRes, GERMANY Andreas B. Imhoff, MD, Prof. Emeritus, GERMANY Julian Mehl, MD, GERMANY
Midterm Outcomes After Arthroscopic Hip Capsular Reconstruction Using Iliotibial Band Allograft 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
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

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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