Reconstruction of Chronic Proximal Hamstring Tear: A Novel Surgical Technique with Semitendinosus Tendon Allograft Assisted with Autologous Plasma Rich in Growth Factors (PRGF)
The reconstruction of a chronic proximal hamstring tear is a challenging pathology that posits difficulties to surgeons due to the distal retraction of the hamstring tendon stumps and the entrapment of the sciatic nerve within the scar formed around the torn hamstring tendon. We describe a novel sur...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-09-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/11/18/5443 |
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| author | Antonio Ríos Luna Homid Fahandezh-Saddi Díaz Manuel Villanueva Martínez Ángel Bueno Horcajadas Roberto Prado Eduardo Anitua Sabino Padilla |
| author_facet | Antonio Ríos Luna Homid Fahandezh-Saddi Díaz Manuel Villanueva Martínez Ángel Bueno Horcajadas Roberto Prado Eduardo Anitua Sabino Padilla |
| author_sort | Antonio Ríos Luna |
| collection | DOAJ |
| description | The reconstruction of a chronic proximal hamstring tear is a challenging pathology that posits difficulties to surgeons due to the distal retraction of the hamstring tendon stumps and the entrapment of the sciatic nerve within the scar formed around the torn hamstring tendon. We describe a novel surgical technique using a semitendinosus tendon allograft sutured in a “V inversion” manner, thereby avoiding an excess of tension and length of the new reconstructed hamstring tendons. In addition, and in order to speed up the healing process and avoid new sciatic entrapment, we assisted the surgery with liquid plasma rich in growth factors (PRGF) injected intraosseously, intratendinously and within the suture areas, as well as wrapping the sciatic nerve with a PRGF membrane. In conclusion, this novel approach offers mechanical and biological advantages to tackle the large retraction of hamstring stumps and the entrapment of the sciatic nerve within the scar. |
| first_indexed | 2024-03-09T23:35:45Z |
| format | Article |
| id | doaj.art-1cf0a9e415c84061b57d1d350badc435 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-09T23:35:45Z |
| publishDate | 2022-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-1cf0a9e415c84061b57d1d350badc4352023-11-23T17:00:49ZengMDPI AGJournal of Clinical Medicine2077-03832022-09-011118544310.3390/jcm11185443Reconstruction of Chronic Proximal Hamstring Tear: A Novel Surgical Technique with Semitendinosus Tendon Allograft Assisted with Autologous Plasma Rich in Growth Factors (PRGF)Antonio Ríos Luna0Homid Fahandezh-Saddi Díaz1Manuel Villanueva Martínez2Ángel Bueno Horcajadas3Roberto Prado4Eduardo Anitua5Sabino Padilla6Department of Traumatology and Orthopedic Surgery, Clínica Orthoindal, 04004 Almería, SpainDepartment of Orthopedic Surgery, Hospital Universitario Fundación Alcorcón, 28922 Alcorcón, SpainDepartment of Traumatology and Orthopedic Surgery, Avanfi Institute, 28015 Madrid, SpainDepartment of Radiology, Hospital Universitario Fundación Alcorcón, 28922 Alcorcón, SpainBTI—Biotechnology Institute I MAS D, 01007 Vitoria, SpainBTI—Biotechnology Institute I MAS D, 01007 Vitoria, SpainBTI—Biotechnology Institute I MAS D, 01007 Vitoria, SpainThe reconstruction of a chronic proximal hamstring tear is a challenging pathology that posits difficulties to surgeons due to the distal retraction of the hamstring tendon stumps and the entrapment of the sciatic nerve within the scar formed around the torn hamstring tendon. We describe a novel surgical technique using a semitendinosus tendon allograft sutured in a “V inversion” manner, thereby avoiding an excess of tension and length of the new reconstructed hamstring tendons. In addition, and in order to speed up the healing process and avoid new sciatic entrapment, we assisted the surgery with liquid plasma rich in growth factors (PRGF) injected intraosseously, intratendinously and within the suture areas, as well as wrapping the sciatic nerve with a PRGF membrane. In conclusion, this novel approach offers mechanical and biological advantages to tackle the large retraction of hamstring stumps and the entrapment of the sciatic nerve within the scar.https://www.mdpi.com/2077-0383/11/18/5443proximal hamstring avulsionallograft reconstructionchronicPRGFplatelet-rich plasmaPRP |
| spellingShingle | Antonio Ríos Luna Homid Fahandezh-Saddi Díaz Manuel Villanueva Martínez Ángel Bueno Horcajadas Roberto Prado Eduardo Anitua Sabino Padilla Reconstruction of Chronic Proximal Hamstring Tear: A Novel Surgical Technique with Semitendinosus Tendon Allograft Assisted with Autologous Plasma Rich in Growth Factors (PRGF) Journal of Clinical Medicine proximal hamstring avulsion allograft reconstruction chronic PRGF platelet-rich plasma PRP |
| title | Reconstruction of Chronic Proximal Hamstring Tear: A Novel Surgical Technique with Semitendinosus Tendon Allograft Assisted with Autologous Plasma Rich in Growth Factors (PRGF) |
| title_full | Reconstruction of Chronic Proximal Hamstring Tear: A Novel Surgical Technique with Semitendinosus Tendon Allograft Assisted with Autologous Plasma Rich in Growth Factors (PRGF) |
| title_fullStr | Reconstruction of Chronic Proximal Hamstring Tear: A Novel Surgical Technique with Semitendinosus Tendon Allograft Assisted with Autologous Plasma Rich in Growth Factors (PRGF) |
| title_full_unstemmed | Reconstruction of Chronic Proximal Hamstring Tear: A Novel Surgical Technique with Semitendinosus Tendon Allograft Assisted with Autologous Plasma Rich in Growth Factors (PRGF) |
| title_short | Reconstruction of Chronic Proximal Hamstring Tear: A Novel Surgical Technique with Semitendinosus Tendon Allograft Assisted with Autologous Plasma Rich in Growth Factors (PRGF) |
| title_sort | reconstruction of chronic proximal hamstring tear a novel surgical technique with semitendinosus tendon allograft assisted with autologous plasma rich in growth factors prgf |
| topic | proximal hamstring avulsion allograft reconstruction chronic PRGF platelet-rich plasma PRP |
| url | https://www.mdpi.com/2077-0383/11/18/5443 |
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