Evidence map›Paper›PMID 40923452›Full record

Trial reportKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2025

Accelerated rehabilitation after proximal hamstring avulsion repair is safe and effective: Outcomes from randomized controlled trial of two different rehabilitation regimes.

Randeep S Aujla, Peter Edwards, Steven Cecchi, Shahbaz Malik, Brendan Ricciardo, Peter Annear, Jay Ebert, Peter D'Alessandro

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Trial
  2. Article
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

8 authors.

Randeep S AujlaUniversity Hospitals of Leicester, Leicester, UK.ORCID https://orcid.org/0000-0001-8465-8923
Peter EdwardsCurtain University School of Allied Health, Perth, Western Australia, Australia.
Steven CecchiFiona Stanley Hospital, Perth, Western Australia, Australia.
Shahbaz MalikWorcestershire Acute Hospitals NHS Trust, Worcester, UK.
Brendan RicciardoFiona Stanley Hospital, Perth, Western Australia, Australia.
Peter AnnearPerth Orthopaedic & Sports Medicine Centre, Perth, Western Australia, Australia.
Jay EbertOrthopaedic Research Foundation of Western Australia, Perth, Western Australia, Australia.
Peter D'AlessandroOrthopaedic Research Foundation of Western Australia, Perth, Western Australia, Australia.

Funding

Orthopaedic Foundation of Western Australia
6 · The paper itself

Abstract

purposeThe purpose of the study was to identify the safety and effectiveness of an accelerated (AR) versus conservative (CR) rehabilitation regimen following surgical repair of proximal hamstring tendon avulsions.

methodsThis prospective randomized controlled trial (RCT) allocated patients undergoing proximal hamstring tendon repair to either a braced, partial weight-bearing rehabilitation regime (CR = 30) or an accelerated, unbraced regime, which permitted full weight-bearing as tolerated (AR = 27). Patients were evaluated pre-operatively and at 6 weeks, 3 and 6 months post-surgery, via patient-reported outcome measures (PROMs), patient satisfaction and global rating of change (GRC) scores. Objective measures, including the single (SHD), triple (THD) and triple crossover (TCHD) hop tests, were assessed at 6 months, as was peak isokinetic knee extensor and flexor torque.

resultsOf the 57 patients recruited, 4 were excluded from the CR group (2 infections; 2 re-injuries). The CR group contained 57% males with a mean age of 45.6 (standard deviation [SD] = 13.4). The AR group contained 44% males with a mean age of 50.5 (SD = 11.8). Therefore, 53 patients (CR = 26, AR = 27) were reviewed at the final 6-month follow-up. Within-group analyses showed that both groups significantly improved in all PROMs (p < 0.05). No significant differences were observed between groups for satisfaction, GRC scores, knee extensor torque, knee flexor torque, limb symmetry indices, re-injuries or complications at 6 months.

conclusionsThis RCT has highlighted the safety and efficacy of a post-operative rehabilitation pathway that includes weight-bearing as tolerated, without bracing, in patients after proximal hamstring tendon repair. LEVEL OF EVIDENCE: Level I.

Indexed as

Hamstring TendonsTendon InjuriesAdultFemaleHamstring MusclesHumansMaleMiddle AgedPatient Reported Outcome MeasuresPatient SatisfactionProspective StudiesTreatment OutcomeWeight-Bearingavulsionhamstringrehabilitationtendontendon repair

Identifiers

PMID40923452
PMCPMC12684348

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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.