A Novel Technique for Chronic Retracted Proximal Hamstring Rupture Reconstruction Using an Achilles Tendon Allograft in a "Clasp" Configuration

Acute hamstring injuries are not uncommonly encountered; however, chronic retracted complete proximal hamstring ruptures are a rare and potentially debilitating injury. There are very few treatment options for the chronically retracted proximal hamstring tear with a significant defect after the tendon has been fully mobilized from the surrounding scar tissue. The use of Achilles tendon allograft for the reconstruction of chronic retracted tears with a large defect has resulted in significant improvements in patient satisfaction and functional improvements. A novel surgical technique in which the Achilles tendon allograft is placed in a "clasp" configuration to reconstruct the chronically retracted proximal hamstring is described, and we believe that this easily reproducible technique significantly enhances the reconstruction options available to surgeons treating this challenging problem. (C) 2015 Elsevier Inc. All rights reserved.