DOS 2019

DOS Kongressen 2019 · 211 Reattachment of proximal avulsions of the hamstrings tendons is a good treatment in middle aged patients. Torsten Warming, Peter Lavard, Martin Rathcke, Christian Dippmann, Lars Konradsen, Anke Simone Rechter, Michael Rindom Krogsgaard Section for Sports Traumatology M51, Bispebjerg and Frederiksberg Hospital Background: It is documented in literature, that reinsertion of proximal avul- sions of semitendinosus, semimembranosus and biceps femoris from the ischial tuberosity in younger patients, including athletes, result in good patient satisfac- tion and a high rate of return-to-sports. However, in a recent meta-analysis the complication rate was reported as 23 % There is very sparse evidence in litera- ture in relation to treatment of middle-aged patients and patients who are past the acute phase. Middle-aged patients treated non-surgically have substantial strength deficits, but there is no difference in Lower Extremity Functional Score between series of surgically and non-surgically treated patients. Purpose / Aim of Study: The aim of this study was to report the results of reinsertion or reconstruction of the proximal hamstrings in patients older than 35 years. Materials and Methods: Consecutive patients operated since 2011 were in- cluded. Complications were recorded and patient satisfaction was registered at follow-up. Findings / Results: Sixteen patients, mean age 52.4 year (range: (36-69) (8 women and 8 men) were operated. In 11 cases all three tendons (semitendino- sus, semimembranosus and biceps femoris) had been avulsed and in 5 cases only two tendons. The mean interval between the injury and operation was 112 days (range 7-700). In 15 patients it was possible to reinsert the tendons directly onto the ischial tuberosity, and in one case it was necessary to reconstruct the tendons with allograft tendon material. There were no postoperative symptoms (temporary or permanent) from the sciatic nerve and no deep infections. At follow-up all patients were satisfied with the result. Conclusions: Reattachment of proximal hamstrings avulsions show good re- sults in middle- aged patients, and can be performed after the acute phase with positive result. 169.