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Surgical Repair of Chronic Complete Hamstring Tendon Rupture in the Adult Patient

North Sydney Orthopaedic and Sports Medicine Centre, Crows Nest, Sydney, Australia

* Address correspondence and reprint requests to Mervyn J. Cross, MBBS, FRACS, North Sydney Orthopaedic and Sports Medicine Centre, 286 Pacific Highway, Crows Nest 2065 NSW, Australia

Complete rupture of the hamstring tendons in the adult is a rare injury. This report discusses complete rupture of the hamstring tendons in nine patients treated by late operative repair. All patients were referred from outside centers for a second opinion after failed nonoperative treatment. The diagnosis was made quite easily on clinical grounds and was confirmed at surgery. Surgical treatment in all cases consisted of reattachment of the hamstring tendons to the origin on the ischium, and in all cases it was necessary to perform neurolysis of the sciatic nerve. Good results were achieved in all cases, at follow-up all patients were satisfied with the surgery.