Proximal hamstring injuries, particularly complete tendon ruptures, often require surgical intervention to restore function and prevent long-term disability. This document outlines the process of undergoing proximal hamstring repair.
Proximal hamstring repair surgery involves reattaching the torn hamstring tendon to the ischial tuberosity (sit bone) of the pelvis. The procedure is typically performed under general or regional anaesthesia and follows these steps:
Incision: A small incision is made near the buttock crease to access the hamstring tendon.
Tendon Mobilisation: If the tendon has retracted, it is carefully freed and prepared for reattachment.
Reattachment: The tendon is reattached to the ischial tuberosity using strong suture anchors or stitches.
Closure: The incision is closed with sutures, and a sterile dressing is applied.
Before surgery, patients undergo:
Medical Evaluation: To assess your overall health and ensure suitability for surgery.
Imaging (MRI or Ultrasound): To confirm the diagnosis and plan the procedure.
Prehabilitation: In a traumatic setting there isn't much prehabiliation that you are able to do. However in more chronic or revision cases, strengthening and flexibility exercises may be recommended to optimise postoperative recovery.
Recovery from proximal hamstring repair is a staged process requiring strict adherence to rehabilitation guidelines:
The early stages of you recovery focus on wound healing, swelling reduction and pain control. Gradually more stretching and strengthening will be introduced to your rehabilitation program. It can take up to 6 months until you have completely recovered.
As with any surgical procedure, proximal hamstring repair carries potential risks, including:
With proper rehabilitation, most patients regain strength, mobility, and function, allowing them to return to normal activities. Athletes can often resume sports within 4-6 months, depending on the severity of the injury and adherence to rehabilitation protocols.
Proximal hamstring repair is a well-established surgical procedure that can restore function after a severe injury. Early diagnosis, timely surgery, and structured rehabilitation are crucial to achieving the best possible outcomes. Patients should follow their surgeon’s and physiotherapist’s recommendations for optimal recovery.
Here are a number of the questions we often get asked.
Recovery typically takes 3-6 months, with structured physiotherapy playing a key role in regaining full function.
Yes, physiotherapy is essential for regaining strength, flexibility, and mobility while minimising the risk of re-injury.
