Fixation of the Proximal Hamstring Tendon Using an All-Suture Tensionable Knotless Technique
Authors: Carbone AD, Saeed SK, Perez-Padilla PA, Domb BG
Journal:Arthroscopy Techniques, June 2023
DOI:10.1016/j.eats.2023.03.016
Objective:
Describe a novel technique for proximal hamstring tendon repair using a tensionable, knotless, all-suture anchor construct.
Key Findings:
- The technique employs five independent mattress sutures, enhancing fixation strength by eliminating failure risk tied to a single anchor point.
- The repair is biomechanically strong and addresses limitations of older suture anchor designs.
Conclusion:
This method offers a more durable and reliable repair option for proximal hamstring injuries, potentially improving outcomes, especially in active patients and athletes.
What Does This Mean For Providers?
- Consider adopting this tensionable knotless all-suture technique for proximal hamstring repairs to achieve stronger fixation and reduce failure risk.
- The multiple independent sutures provide redundancy, which may enhance repair durability in high-demand patients.
- Familiarity with the knotless construct can streamline surgery by eliminating knot tying and reduce bulk at the repair site.