[Clinical results after refixation of proximal hamstring tendon ruptures comparing different anchor systems].
Klinische Ergebnisse nach Refixation proximaler Hamstring-Sehnen-Rupturen unter Berücksichtigung verschiedener Ankersysteme.
Bone anchors
Fracture fixation
Patient satisfaction
Return to sport
Tendon injuries
Journal
Der Unfallchirurg
ISSN: 1433-044X
Titre abrégé: Unfallchirurg
Pays: Germany
ID NLM: 8502736
Informations de publication
Date de publication:
Jul 2021
Jul 2021
Historique:
accepted:
04
05
2021
pubmed:
19
6
2021
medline:
10
7
2021
entrez:
18
6
2021
Statut:
ppublish
Résumé
Injuries to the hamstring muscles and tendon complex are among the most frequent muscular injuries with proximal hamstring tendon avulsion being a particularly severe form. The surgical treatment of these injuries is superior to conservative management with respect to patient satisfaction, recovery of muscle strength and function as well as return to sport rates. It is therefore the method of choice. Presentation and comparison of the surgical results after treatment with titanium, polyether ether ketone (PEEK) and all suture anchors. A systematic search was carried out in the PubMed medical database and the results are summarized. All systems exhibit comparable biomechanical properties regarding elongation and ultimate failure load. Tendon repair with these anchors results in good to excellent clinical outcomes and shows high return to sport and low complication rates. Patient satisfaction after hamstring tendon repair is reported to be over 90% and return to sport rate is 80-100%. The muscle strength recovers to 80-90% in comparison to the contralateral side. All available anchors systems provide good to excellent clinical outcomes and an explicit advantage for one anchor system could so far not be shown. HINTERGRUND: Verletzungen der ischiokruralen Muskulatur zählen zu den häufigsten Muskelverletzungen des Menschen, wobei der Abriss der proximalen Hamstring-Sehnen eine besonders schwerwiegende Form darstellt. Die operative Therapie dieser Verletzungen ist dem konservativen Management hinsichtlich Patientenzufriedenheit, Wiederherstellung der Muskelkraft und Funktion sowie „return to sports“ überlegen und deshalb Methode der Wahl. Darstellung und Vergleich der operativen Ergebnisse nach Versorgungen mit Titan‑, Polyetheretherketon(PEEK)- oder „All-suture“-Anker. Es wurde eine systematische Literatursuche in der Medizindatenbank PubMed durchgeführt, und die Ergebnisse wurden zusammengefasst. Alle Systeme zeigen vergleichbare biomechanische Elongations- sowie Maximallastwerte. Operationen mit diesen Ankern resultieren in guten klinischen Ergebnissen und weisen niedrige Komplikations- und eine hohe Return-to-sports-Raten auf. Die Patientenzufriedenheit nach Hamstring-Sehnen-Repair beträgt über 90 % und die Return-to-sports-Raten 80–100 %. Die Muskelkraft wird im Vergleich zur Gegenseite zu etwa 80–90 % wiederhergestellt. Alle Ankertypen sind sicher anwendbar, und ein expliziter Vorteil für ein Ankersystem konnte bis dato nicht nachgewiesen werden.
Sections du résumé
BACKGROUND
BACKGROUND
Injuries to the hamstring muscles and tendon complex are among the most frequent muscular injuries with proximal hamstring tendon avulsion being a particularly severe form. The surgical treatment of these injuries is superior to conservative management with respect to patient satisfaction, recovery of muscle strength and function as well as return to sport rates. It is therefore the method of choice.
OBJECTIVE
OBJECTIVE
Presentation and comparison of the surgical results after treatment with titanium, polyether ether ketone (PEEK) and all suture anchors.
MATERIAL AND METHODS
METHODS
A systematic search was carried out in the PubMed medical database and the results are summarized.
RESULTS
RESULTS
All systems exhibit comparable biomechanical properties regarding elongation and ultimate failure load. Tendon repair with these anchors results in good to excellent clinical outcomes and shows high return to sport and low complication rates. Patient satisfaction after hamstring tendon repair is reported to be over 90% and return to sport rate is 80-100%. The muscle strength recovers to 80-90% in comparison to the contralateral side.
CONCLUSION
CONCLUSIONS
All available anchors systems provide good to excellent clinical outcomes and an explicit advantage for one anchor system could so far not be shown.
ZUSAMMENFASSUNG
UNASSIGNED
HINTERGRUND: Verletzungen der ischiokruralen Muskulatur zählen zu den häufigsten Muskelverletzungen des Menschen, wobei der Abriss der proximalen Hamstring-Sehnen eine besonders schwerwiegende Form darstellt. Die operative Therapie dieser Verletzungen ist dem konservativen Management hinsichtlich Patientenzufriedenheit, Wiederherstellung der Muskelkraft und Funktion sowie „return to sports“ überlegen und deshalb Methode der Wahl.
FRAGESTELLUNG
UNASSIGNED
Darstellung und Vergleich der operativen Ergebnisse nach Versorgungen mit Titan‑, Polyetheretherketon(PEEK)- oder „All-suture“-Anker.
MATERIAL UND METHODEN
METHODS
Es wurde eine systematische Literatursuche in der Medizindatenbank PubMed durchgeführt, und die Ergebnisse wurden zusammengefasst.
ERGEBNISSE
UNASSIGNED
Alle Systeme zeigen vergleichbare biomechanische Elongations- sowie Maximallastwerte. Operationen mit diesen Ankern resultieren in guten klinischen Ergebnissen und weisen niedrige Komplikations- und eine hohe Return-to-sports-Raten auf. Die Patientenzufriedenheit nach Hamstring-Sehnen-Repair beträgt über 90 % und die Return-to-sports-Raten 80–100 %. Die Muskelkraft wird im Vergleich zur Gegenseite zu etwa 80–90 % wiederhergestellt.
SCHLUSSFOLGERUNG
UNASSIGNED
Alle Ankertypen sind sicher anwendbar, und ein expliziter Vorteil für ein Ankersystem konnte bis dato nicht nachgewiesen werden.
Autres résumés
Type: Publisher
(ger)
HINTERGRUND: Verletzungen der ischiokruralen Muskulatur zählen zu den häufigsten Muskelverletzungen des Menschen, wobei der Abriss der proximalen Hamstring-Sehnen eine besonders schwerwiegende Form darstellt. Die operative Therapie dieser Verletzungen ist dem konservativen Management hinsichtlich Patientenzufriedenheit, Wiederherstellung der Muskelkraft und Funktion sowie „return to sports“ überlegen und deshalb Methode der Wahl.
Identifiants
pubmed: 34143256
doi: 10.1007/s00113-021-01020-8
pii: 10.1007/s00113-021-01020-8
doi:
Types de publication
Journal Article
Systematic Review
Langues
ger
Sous-ensembles de citation
IM
Pagination
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