Proximal hamstring reconstruction using semitendinosus and gracilis autograft: a novel technique

Muellner, Thomas; Kumar, Sandeep; Singla, Amit

doi:10.1007/s00167-016-4366-9

Cited by 9 publications

(22 citation statements)

References 10 publications

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“…In that study, the specific patient outcomes of that small cohort were not provided. Finally, a single case report employed an autograft consisting of contralateral semitendinosus and gracilis to bridge a chronically retracted defect, though no specific patient outcomes were again reported [19].…”

Section: Resultsmentioning

confidence: 99%

“…As outlined above, a number of surgical techniques utilising a range of autograft and allograft methods have been reported [9,15,16,19,20,22,24,25,28], generally with very small patient numbers (often 1-2 patients) and often without any detail on clinical outcomes.…”

Section: Resultsmentioning

confidence: 99%

“…Allografts do present with some potential inherent issues, such as infection and disease transmission, lack of incorporation, cost and the lack of availability in some cases [19]. In the current study, we sought to investigate the use of an ipsilateral semitendinosus and gracilis free graft, given its ease in harvest and no requirement to invade the contralateral healthy limb.…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Reconstruction of chronic proximal hamstring avulsion injuries using ipsilateral distal hamstring tendons results in good clinical outcomes and patient satisfaction

Ebert

Gormack

Annear

2018

Knee Surg Sports Traumatol Arthrosc

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Reconstruction of chronic proximal hamstring avulsion injuries using ipsilateral distal hamstring tendons results in good clinical outcomes and patient satisfaction

Ebert

Gormack

Annear

2018

Knee Surg Sports Traumatol Arthrosc

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“…It can cause significant amount of morbidity. In chronic cases, the primary repair may not be possible because of the retraction of muscle mass [ 20 ]. Muellner et al [ 20 ] reported a novel operation procedure to reconstruction this type of chronic avulsion by using contralateral ST muscle autograft.…”

Section: Discussionmentioning

confidence: 99%

Morphometric study of the semitendinosus muscle and its neurovascular pedicles in South Indian cadavers

et al. 2018

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The purpose of this study was to determine the length of the semitendinosus muscle belly and its tendon in South Indian population and to study the topography and diameter of its neurovascular pedicles. The study included 46 formalin fixed human cadaveric lower limbs. The length of the semitendinosus muscle belly and its tendon were measured. The neurovascular pedicles of the semitendinosus muscle were identified and counted. The diameter of the neurovascular pedicle was measured just before its entrance into the semitendinosus muscle. The topographical distance of the neurovascular pedicles from the origin of the semitendinosus muscle were determined. The mean length of the semitendinosus muscle belly was 332.3±36.1 mm and its tendon measured 154.8±31.9 mm. The mean diameter of the vascular pedicle was measuring 11.4±9.1 mm, just before its entrance into the semitendinosus muscle. The neurovascular pedicles, of the semitendinosus muscle were ranging between 1 and 7. The distance of the entrance of neurovascular pedicle to the semitendinosus muscle from its origin was ranging between 46 and 272 mm. It was observed that the neurovascular pedicles were highest (31%) at the range of 151–200 mm away from the ischial tuberosity. The morphometric data obtained in the present study is enlightening to the orthopedic and plastic surgeons. The topographical knowledge of the neurovascular pedicles has its implications during the harvesting of the grafts and pedicle flaps. The diameter of vessels in the pedicles is enlightening because of new method of anterior cruciate ligament reconstruction.

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“…30 A variety of reconstruction techniques have been described, including all soft tissue Achilles allograft with suture anchor fixation, Achilles allograft with bone plug interference screw fixation at the ischium, hamstring autograft, and fascia lata autograft. 30,61,[109][110][111][112]…”

Section: Proximal Hamstring Reconstructionmentioning

confidence: 99%

Proximal Hamstring Injuries: Review of Operative and Nonoperative Management

2018

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While uncommon, proximal hamstring injuries can result in significant pain and dysfunction, while also posing considerable treatment dilemmas due to the spectrum of injury that exists. Recent literature suggests that outcomes are improved with acute surgical repair of complete proximal hamstring avulsions, highlighting the importance of timely management of these unique injuries. While chronic repair or reconstruction can result in predictable improvements in pain and function postoperatively, the results are less predictable than acute surgical repair. Nonoperative management should be considered as the initial treatment strategy for patients with proximal hamstring tendinopathy or partial tears, as delayed surgical intervention in this setting has not been shown to significantly affect outcomes. Although current evidence is limited, evolving therapeutic techniques, including biologic injections and endoscopic repair techniques, need to be carefully evaluated to determine their role moving forward. This review aims to provide updated information on the relevant anatomy, mechanism of injury, diagnosis, and management of proximal hamstring injuries, with a specific focus on surgical indications, techniques, and outcomes.

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Proximal hamstring reconstruction using semitendinosus and gracilis autograft: a novel technique

Abstract: V.

Cited by 9 publications

References 10 publications

Reconstruction of chronic proximal hamstring avulsion injuries using ipsilateral distal hamstring tendons results in good clinical outcomes and patient satisfaction

Reconstruction of chronic proximal hamstring avulsion injuries using ipsilateral distal hamstring tendons results in good clinical outcomes and patient satisfaction

Morphometric study of the semitendinosus muscle and its neurovascular pedicles in South Indian cadavers

Proximal Hamstring Injuries: Review of Operative and Nonoperative Management

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