Poster 224: Complications Associated with Proximal Hamstring Tendon Repair: A Systematic Review

Objectives: Proximal hamstring tendon ruptures typically occur as a result of simultaneous hip flexion and knee extension, leading to avulsion the conjoint and/or semimembranosus tendons from their origin at ischial tuberosity. Surgical repair proximal has been shown in multiple clinical outcome studies be superior nonoperative management, with improved functional scores ability return sport postoperatively. Although several potential complications have reported literature, few comprehensively analyzed complication profile repair. The purpose this systematic review was identify overall rate following repair, differentiate these into categories, compare rates open versus endoscopic Methods: A original research articles performed using PRISMA (Preferred Reporting Items for Systematic Reviews Meta-Analyses) guidelines. To qualify study inclusion, included were required published English, Level 4 evidence or higher, had examine surgical ruptures. No restrictions made regarding publication date methodological quality. Data extracted calculate well major minor complications. quantitative data synthesis conducted Chi-square tests proportion patients who experienced approaches. Results: Forty-three including 2,823 repairs identified. postoperative 15.4% (n = 436). 4.6%, 0.8% re-rupture rate, re-operation 1.7% sciatic nerve injury, 0.9% venous thromboembolism (VTE), 0.4% deep infection. Minor posterior femoral cutaneous injury (2.4%), persistent sitting pain (2.3%), myopathy hematoma/seroma (0.8%), peri-incisional numbness (1.8%), superficial infection (1.1%). Endoscopic associated higher (p 0.012), 0.048), < 0.001) compared Conclusions: is an 15.4%, 4.6% There statistically significant increase treated endoscopically those underwent