Jay R. Ebert, Peter K. Edwards, Elias Ammann, Adam Farrier, Lorcan Gavin, Method Kabelitz, Ross Radic, Antony Liddell, Peter Annear
{"title":"年龄较大和非运动损伤机制与再次损伤相关,需要在近端腘绳肌腱修复后至少2年的随访中进行翻修手术。","authors":"Jay R. Ebert, Peter K. Edwards, Elias Ammann, Adam Farrier, Lorcan Gavin, Method Kabelitz, Ross Radic, Antony Liddell, Peter Annear","doi":"10.1002/ksa.12767","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Purpose</h3>\n \n <p>To investigate revision rates and factors associated with the need for revision following proximal hamstring tendon repair.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>This study included 243 patients who underwent proximal hamstring tendon repair due to an acute (<i>n</i> = 176) or chronic (<i>n</i> = 67) tear. Complications, re-injuries and re-operations were reviewed. Risk factor analysis for re-rupture within 2 years of surgery was conducted using Cox proportional hazards regression, with variables including age, body mass index (BMI), sex, mechanism of injury (sport-related or other), time from injury to surgery and comorbidities including hypertension, hypercholesterolaemia and Type 2 diabetes. Receiver operating characteristic analysis explored time-to-surgery thresholds in relation to revision.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Overall, 19 (10.8%) of the acute cohort and 11 (16.4%) of the chronic cohort underwent revision surgery due to re-tearing and recurrence of symptoms. In the acute cohort, an increased risk of re-injury was associated with a non-sporting (versus sporting) injury (hazard ratio [HR] = 3.38; 95% confidence interval [CI], 1.10–10.39; <i>p</i> = 0.033) and an older age (HR = 1.04 per year; 95% CI, 1.00–1.08; <i>p</i> = 0.031). In the chronic cohort, there were no significant associations between age, BMI, sex or comorbidities, with revision surgery. The optimal threshold for surgery for acute repairs was 30.5 days.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>A 10.8% and 16.4% revision rate was observed over a minimum 2-year follow-up following proximal hamstring repair for acute and chronic tears, respectively. For chronic tears, no variables were associated with the need for revision. However, older age and non-sporting injury were associated with a higher risk of re-injury in the acute cohort.</p>\n </section>\n \n <section>\n \n <h3> Level of Evidence</h3>\n \n <p>Level IV, retrospective case series.</p>\n </section>\n </div>","PeriodicalId":17880,"journal":{"name":"Knee Surgery, Sports Traumatology, Arthroscopy","volume":"33 8","pages":"2984-2993"},"PeriodicalIF":5.0000,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ksa.12767","citationCount":"0","resultStr":"{\"title\":\"Older age and a non-sporting injury mechanism are associated with re-injury and the need for revision surgery over a minimum 2-year follow-up following proximal hamstring tendon repair\",\"authors\":\"Jay R. Ebert, Peter K. Edwards, Elias Ammann, Adam Farrier, Lorcan Gavin, Method Kabelitz, Ross Radic, Antony Liddell, Peter Annear\",\"doi\":\"10.1002/ksa.12767\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Purpose</h3>\\n \\n <p>To investigate revision rates and factors associated with the need for revision following proximal hamstring tendon repair.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>This study included 243 patients who underwent proximal hamstring tendon repair due to an acute (<i>n</i> = 176) or chronic (<i>n</i> = 67) tear. Complications, re-injuries and re-operations were reviewed. Risk factor analysis for re-rupture within 2 years of surgery was conducted using Cox proportional hazards regression, with variables including age, body mass index (BMI), sex, mechanism of injury (sport-related or other), time from injury to surgery and comorbidities including hypertension, hypercholesterolaemia and Type 2 diabetes. Receiver operating characteristic analysis explored time-to-surgery thresholds in relation to revision.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>Overall, 19 (10.8%) of the acute cohort and 11 (16.4%) of the chronic cohort underwent revision surgery due to re-tearing and recurrence of symptoms. In the acute cohort, an increased risk of re-injury was associated with a non-sporting (versus sporting) injury (hazard ratio [HR] = 3.38; 95% confidence interval [CI], 1.10–10.39; <i>p</i> = 0.033) and an older age (HR = 1.04 per year; 95% CI, 1.00–1.08; <i>p</i> = 0.031). In the chronic cohort, there were no significant associations between age, BMI, sex or comorbidities, with revision surgery. The optimal threshold for surgery for acute repairs was 30.5 days.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>A 10.8% and 16.4% revision rate was observed over a minimum 2-year follow-up following proximal hamstring repair for acute and chronic tears, respectively. For chronic tears, no variables were associated with the need for revision. However, older age and non-sporting injury were associated with a higher risk of re-injury in the acute cohort.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Level of Evidence</h3>\\n \\n <p>Level IV, retrospective case series.</p>\\n </section>\\n </div>\",\"PeriodicalId\":17880,\"journal\":{\"name\":\"Knee Surgery, Sports Traumatology, Arthroscopy\",\"volume\":\"33 8\",\"pages\":\"2984-2993\"},\"PeriodicalIF\":5.0000,\"publicationDate\":\"2025-07-07\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ksa.12767\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Knee Surgery, Sports Traumatology, Arthroscopy\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://esskajournals.onlinelibrary.wiley.com/doi/10.1002/ksa.12767\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"ORTHOPEDICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Knee Surgery, Sports Traumatology, Arthroscopy","FirstCategoryId":"3","ListUrlMain":"https://esskajournals.onlinelibrary.wiley.com/doi/10.1002/ksa.12767","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
Older age and a non-sporting injury mechanism are associated with re-injury and the need for revision surgery over a minimum 2-year follow-up following proximal hamstring tendon repair
Purpose
To investigate revision rates and factors associated with the need for revision following proximal hamstring tendon repair.
Methods
This study included 243 patients who underwent proximal hamstring tendon repair due to an acute (n = 176) or chronic (n = 67) tear. Complications, re-injuries and re-operations were reviewed. Risk factor analysis for re-rupture within 2 years of surgery was conducted using Cox proportional hazards regression, with variables including age, body mass index (BMI), sex, mechanism of injury (sport-related or other), time from injury to surgery and comorbidities including hypertension, hypercholesterolaemia and Type 2 diabetes. Receiver operating characteristic analysis explored time-to-surgery thresholds in relation to revision.
Results
Overall, 19 (10.8%) of the acute cohort and 11 (16.4%) of the chronic cohort underwent revision surgery due to re-tearing and recurrence of symptoms. In the acute cohort, an increased risk of re-injury was associated with a non-sporting (versus sporting) injury (hazard ratio [HR] = 3.38; 95% confidence interval [CI], 1.10–10.39; p = 0.033) and an older age (HR = 1.04 per year; 95% CI, 1.00–1.08; p = 0.031). In the chronic cohort, there were no significant associations between age, BMI, sex or comorbidities, with revision surgery. The optimal threshold for surgery for acute repairs was 30.5 days.
Conclusions
A 10.8% and 16.4% revision rate was observed over a minimum 2-year follow-up following proximal hamstring repair for acute and chronic tears, respectively. For chronic tears, no variables were associated with the need for revision. However, older age and non-sporting injury were associated with a higher risk of re-injury in the acute cohort.
期刊介绍:
Few other areas of orthopedic surgery and traumatology have undergone such a dramatic evolution in the last 10 years as knee surgery, arthroscopy and sports traumatology. Ranked among the top 33% of journals in both Orthopedics and Sports Sciences, the goal of this European journal is to publish papers about innovative knee surgery, sports trauma surgery and arthroscopy. Each issue features a series of peer-reviewed articles that deal with diagnosis and management and with basic research. Each issue also contains at least one review article about an important clinical problem. Case presentations or short notes about technical innovations are also accepted for publication.
The articles cover all aspects of knee surgery and all types of sports trauma; in addition, epidemiology, diagnosis, treatment and prevention, and all types of arthroscopy (not only the knee but also the shoulder, elbow, wrist, hip, ankle, etc.) are addressed. Articles on new diagnostic techniques such as MRI and ultrasound and high-quality articles about the biomechanics of joints, muscles and tendons are included. Although this is largely a clinical journal, it is also open to basic research with clinical relevance.
Because the journal is supported by a distinguished European Editorial Board, assisted by an international Advisory Board, you can be assured that the journal maintains the highest standards.
Official Clinical Journal of the European Society of Sports Traumatology, Knee Surgery and Arthroscopy (ESSKA).