目的:腿筋近端肌腱来源的撕脱可导致明显的功能损害,随着肌腱的手术重新附着成为一种越来越被认可的治疗方法。这项研究的目的是评估近端绳肌腱撕脱的手术治疗的结果,并比较急性和慢性修复的结果,以及部分和完全受伤之间。
方法:PubMed,CINAHL,SPORT讨论,科克伦图书馆,EMBASE,搜索了WebofScience。对研究进行筛选和质量评估。
结果:总而言之,包括35项研究(1,530例手术修复的腿筋)。修复时的平均年龄为44.7岁(12至78岁)。共有846例眼泪是急性的,684是慢性的,520眼泪被定义为局部的,916完成。总的来说,92.6%的患者对手术结果感到满意。平均下肢功能评分为74.7,部分损伤组明显更高。术后平均腿筋强度为未受伤肢体的87.0%,部分组较高。体育回归率(RTS)为84.5%,平均收益为6.5个月。急性组RTS较快。再破裂率为1.2%,在急性组中较低。坐骨神经功能紊乱率为3.5%,急性组较低(所有病例p<0.05)。
结论:手术治疗结果满意度高,具有良好的功能结果,肌肉力量的恢复,和RTS。部分损伤可以期望更高的功能结果和肌肉力量恢复。急性修复导致更快的RTS,降低了再破裂率和坐骨神经功能障碍。引用这篇文章:BoneJtOpen2022;3(5):415-422。
OBJECTIVE: Avulsion of the proximal hamstring tendon origin can result in significant functional impairment, with surgical re-attachment of the tendons becoming an increasingly recognized treatment. The aim of this study was to assess the outcomes of surgical management of proximal hamstring tendon avulsions, and to compare the results between acute and chronic repairs, as well as between partial and complete injuries.
METHODS: PubMed, CINAHL, SPORTdiscuss, Cochrane Library, EMBASE, and Web of Science were searched. Studies were screened and quality assessed.
RESULTS: In all, 35 studies (1,530 surgically-repaired hamstrings) were included. Mean age at time of repair was 44.7 years (12 to 78). A total of 846 tears were acute, and 684 were chronic, with 520 tears being defined as partial, and 916 as complete. Overall, 92.6% of patients were satisfied with the outcome of their surgery. Mean Lower Extremity Functional Score was 74.7, and was significantly higher in the partial injury group. Mean postoperative hamstring strength was 87.0% of the uninjured limb, and was higher in the partial group. The return to sport (RTS) rate was 84.5%, averaging at a return of 6.5 months. RTS was quicker in the acute group. Re-rupture rate was 1.2% overall, and was lower in the acute group. Sciatic nerve dysfunction rate was 3.5% overall, and lower in the acute group (p < 0.05 in all cases).
CONCLUSIONS: Surgical treatment results in high satisfaction rates, with good functional outcomes, restoration of muscle strength, and RTS. Partial injuries could expect a higher functional outcome and muscle strength return. Acute repairs result in a quicker RTS with a reduced rate of re-rupture and sciatic nerve dysfunction. Cite this article: Bone Jt Open 2022;3(5):415-422.