ArticleArchives of orthopaedic and trauma surgery2026
Pre-operative activity level and a sport or recreation injury mechanism are associated with 2-year clinical outcome after proximal hamstring tendon repair.
Article in Archives of orthopaedic and trauma surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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Who cites it
1 citing paper in PubMed.
- The pre-operative physical component subscale of the 12-item Short Form Health Survey was the only factor associated with 2-year clinical outcome and satisfaction after hip abductor tendon repair.Archives of orthopaedic and trauma surgery · 2026Article
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6 authors.
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No grant is acknowledged in the PubMed record.
Abstract
introductionSurgical repair of proximal hamstring tendon ruptures has demonstrated encouraging outcomes and satisfaction rates, superior to non-operative management. This study sought to investigate injury, surgical and post-operative factors associated with clinical outcome and satisfaction 2-years after proximal hamstring tendon repair of acute tendon injuries.
methodsThis study included 59 patients undergoing proximal hamstring repair for acute tendon ruptures. Clinical assessment pre-operatively and 2-years post-operatively included the Perth Hamstring Assessment Tool (PHAT), Lower Extremity Functional Scale (LEFS) and Tegner Activity Scale (TAS). Regression analysis assessed the contribution of pre-operative patient (age, sex, body mass index, TAS), injury/surgery (time from injury to surgery, injury mechanism, semimembranosus and conjoint tendon retraction) and post-operative (peak isokinetic knee flexor strength) variables, to the 2-year PHAT and reporting complete satisfaction.
resultsFrom baseline to 2-years, the PHAT improved by 47.1 points (95% CI, 41.9 to 52.3; p < 0.001), with 97.1% of patients meeting the PHAT minimal important change of 8.6 points by 2 years post-surgery. Furthermore, the LEFS improved by 44.5 points (95% CI, 39.9 to 49.1; p < 0.001) and TAS by 2.6 points (95% CI, 2.1 to 3.2; p < 0.001). Forty-six (78.0%) patients were ‘very satisfied’ with their 2-year outcome. Univariable analysis indicated that age (p = 0.004), baseline TAS (p = 0.006), a sport/recreation injury mechanism (p < 0.001) and 6-month normalized knee flexor torque (p = 0.030) were associated with the 2-year PHAT. In the final multivariable model, only the baseline TAS (p = 0.021) and a sport/recreation injury mechanism (p = 0.001) remained. No variable was significantly associated with being ‘very satisfied’ with 2-year surgical outcome.
conclusionsClinical scores improved significantly from baseline to 2 years after proximal hamstring repair. While pre-operative TAS and a sport/recreation injury mechanism were associated with the 2-year PHAT, no variables were associated with being ‘very satisfied’ with the 2-year outcome. LEVEL OF EVIDENCE: Prospective cohort study, Level of evidence 3.
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