Evidence map›Paper›PMID 29725745›Full record

ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2019

Accelerated rehabilitation results in good outcomes following acute repair of proximal hamstring ruptures.

Benjamin Léger-St-Jean, Zylyftar Gorica, Robert A Magnussen, W Kelton Vasileff, Christopher C Kaeding

Abstract read
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In one paragraph

Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

  1. Trial
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  7. Systematic Review of Bracing After Proximal Hamstring Repair.Orthopaedic journal of sports medicine · 2024
    Review
  8. Article
  9. Proximal Hamstring Ruptures: Treatment, Rehabilitation, and Return to Play.Current reviews in musculoskeletal medicine · 2023
    Review
  10. Article
  11. Review
  12. Review
  13. Article
  14. Excellent clinical outcome and low complication rate after proximal hamstring tendon repair at mid-term follow up.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020
    Article
  15. Moving forward in hip arthroscopy and related research.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019
    Article
  16. [Minimally invasive proximal hamstring insertion repair].Operative Orthopadie und Traumatologie · 2018
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Benjamin Léger-St-JeanDepartment of Orthopaedics, College of Medicine, The Ohio State University Wexner Medical Center, 2835 Fred Taylor Dr, Columbus, OH, 43202, USA.
Zylyftar GoricaDepartment of Orthopaedics, College of Medicine, The Ohio State University Wexner Medical Center, 2835 Fred Taylor Dr, Columbus, OH, 43202, USA.
Robert A MagnussenDepartment of Orthopaedics, College of Medicine, The Ohio State University Wexner Medical Center, 2835 Fred Taylor Dr, Columbus, OH, 43202, USA. robert.magnussen@osumc.edu.
W Kelton VasileffDepartment of Orthopaedics, College of Medicine, The Ohio State University Wexner Medical Center, 2835 Fred Taylor Dr, Columbus, OH, 43202, USA.
Christopher C KaedingDepartment of Orthopaedics, College of Medicine, The Ohio State University Wexner Medical Center, 2835 Fred Taylor Dr, Columbus, OH, 43202, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess outcomes of patients who underwent proximal hamstring repair utilizing an accelerated rehabilitation protocol with immediate weight bearing as tolerated and no bracing.

methodsRetrospective chart review identified 47 proximal hamstring tendon repairs with suture anchors in 43 patients performed during 2008-2015. Rehabilitation included no immobilization or limited weightbearing. Patients were contacted by phone to assess outcomes utilizing the lower extremity functional score (LEFS), single-assessment numeric evaluation (SANE), and Marx activity scale. Overall patient-reported scores were calculated and results of acute and chronic repairs compared.

resultsThirty-four patients (38 repairs, 80.8%) were available for follow-up at mean of 4.1 ± 2.0 years following repair. There were two re-tears: one complete rupture 5 weeks postoperative and one partial rupture 10 weeks postoperative in the chronic group. Patients in general reported low pain and good function with a mean LEFS score of 87 ± 21%, a mean SANE score of 88.1 ± 11.6, and a mean numeric pain score of 8.5 ± 15.3 in the last week and 12.2 ± 21.1 with activity. The acute repair group was noted to have a higher mean LEFS score (93.7 versus 79.8%, p = 0.004) and SANE score (91.3 versus 83.8, p = 0.047), and lower pain with activity (21.7 versus 4.8, p < 0.001) as compared to the chronic group.

conclusionsRepair of acute proximal hamstring ruptures results in good function and pain relief with the use of a rehabilitation protocol that does not require weight-bearing restrictions or bracing. LEVEL OF EVIDENCE: III, therapeutic.

Indexed as

AdultFemaleFollow-Up StudiesHamstring MusclesHamstring TendonsHumansLower ExtremityMaleMiddle AgedRecovery of FunctionRetrospective StudiesRuptureSuture AnchorsTendon InjuriesTreatment OutcomeWeight-BearingProximal hamstring repairsProximal hamstring rupturesRehabilitationWeight-bearing

Identifiers

PMID29725745

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.