Acute surgical repair of semimembranosus injuries in professional athletes
ESSKA Academy. Ayuob A. 11/08/19; 286395
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Acute surgical repair of semimembranosus injuries in professional athletes

ESMA Free Papers

Topic: Sports Trauma

Ayuob A., Kayani B., Haddad F.
University College London Hospital, Trauma and Orthopaedics, London, United Kingdom

Introduction: Non-operative management of retracted semimembranosus injuries is associated with prolonged periods of convalescence and high risk of recurrence. The effect of acute surgical repair of semimembranosus injuries has not been previously reported.
Objectives: To determine the effect of acute surgical repair of retracted semimembranosus injuries on patient satisfaction, hamstring muscle strength, functional outcomes, return to sporting activity, recurrence, and complications.
Methods: This prospective single surgeon study included 20 patients undergoing acute primary surgical repair of proximal semimembranosus injuries. All study patients underwent a standardised postoperative rehabilitation programme. Predefined outcomes were recorded at regular intervals after surgery. Mean follow-up time was 27.6 months (range, 24.0 months to 34.6 months) from date of surgery.
Results: Nineteen of the 20 patients (95%) returned to their preinjury level of sporting activity. Mean time from surgical repair to full sporting activity was 11.9 ± 5.7 weeks. No patients had recurrence of the primary injury. At 3 months after surgery, patients had improved mean passive straight leg raise (71.5° ± 5.9° vs 31.1° ± 7.2°, p< 0.001); increased mean isometric hamstring muscle strength at 0° (83.8% ± 5.9% vs 48.4% ± 8.3%, p< 0.001), 15° (77.6% ± 6.0% vs 52.3% ± 14.7%, p< 0.001) and 45° (88.6% ± 5.5% vs 66.7% ± 13.1%, p< 0.001), higher mean Lower Extremity Functional Scores (64.8 ± 4.6 vs 34.4 ± 5.2, p< 0.001), and improved Marx Activity Rating Scores (8.5 ± 2.0 vs 5.5 ± 1.5 p< 0.001) compared to preoperative values. High patient satisfaction and functional outcome scores were maintained at one year and two years following surgery.
Conclusion: Acute surgical repair of retracted semimembranosus injuries is associated with high patient satisfaction, increased muscle strength, improved functional outcome scores, and high return to preinjury level of sporting activity with low risk of recurrence at short-term follow-up.
Acute surgical repair of semimembranosus injuries in professional athletes

ESMA Free Papers

Topic: Sports Trauma

Ayuob A., Kayani B., Haddad F.
University College London Hospital, Trauma and Orthopaedics, London, United Kingdom

Introduction: Non-operative management of retracted semimembranosus injuries is associated with prolonged periods of convalescence and high risk of recurrence. The effect of acute surgical repair of semimembranosus injuries has not been previously reported.
Objectives: To determine the effect of acute surgical repair of retracted semimembranosus injuries on patient satisfaction, hamstring muscle strength, functional outcomes, return to sporting activity, recurrence, and complications.
Methods: This prospective single surgeon study included 20 patients undergoing acute primary surgical repair of proximal semimembranosus injuries. All study patients underwent a standardised postoperative rehabilitation programme. Predefined outcomes were recorded at regular intervals after surgery. Mean follow-up time was 27.6 months (range, 24.0 months to 34.6 months) from date of surgery.
Results: Nineteen of the 20 patients (95%) returned to their preinjury level of sporting activity. Mean time from surgical repair to full sporting activity was 11.9 ± 5.7 weeks. No patients had recurrence of the primary injury. At 3 months after surgery, patients had improved mean passive straight leg raise (71.5° ± 5.9° vs 31.1° ± 7.2°, p< 0.001); increased mean isometric hamstring muscle strength at 0° (83.8% ± 5.9% vs 48.4% ± 8.3%, p< 0.001), 15° (77.6% ± 6.0% vs 52.3% ± 14.7%, p< 0.001) and 45° (88.6% ± 5.5% vs 66.7% ± 13.1%, p< 0.001), higher mean Lower Extremity Functional Scores (64.8 ± 4.6 vs 34.4 ± 5.2, p< 0.001), and improved Marx Activity Rating Scores (8.5 ± 2.0 vs 5.5 ± 1.5 p< 0.001) compared to preoperative values. High patient satisfaction and functional outcome scores were maintained at one year and two years following surgery.
Conclusion: Acute surgical repair of retracted semimembranosus injuries is associated with high patient satisfaction, increased muscle strength, improved functional outcome scores, and high return to preinjury level of sporting activity with low risk of recurrence at short-term follow-up.
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