{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T12:48:53Z","timestamp":1792586933280,"version":"4.5.0"},"reference-count":17,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T00:00:00Z","timestamp":1792540800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T00:00:00Z","timestamp":1792540800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["arthroscopyjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy, Sports Medicine, and Rehabil."],"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the clinical and patient\u2010reported outcomes after open operative management of proximal hamstring ruptures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Retrospective chart review was completed for patients who underwent open surgical repair of a proximal hamstring rupture at a single academic center (The Ottawa Hospital) with a minimum of 1\u2010year follow\u2010up between June 2017 and August 2022. Demographic, injury, and surgical data were collected. Patient\u2010reported outcomes, including the Lower Extremity Function Score and International Hip Outcome Tool, at final follow\u2010up were collected and analyzed for all patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 41 patients (58.5% men) with a mean age of 49.5\u2009\u00b1\u200911.7\u2009years (range: 20\u201070\u2009years old) with a mean follow\u2010up of 46.8\u2009\u00b1\u200917.6\u2009months (range 13\u201074\u2009months) were included in the study. The most common mechanism of injury (31.7%) was a fall while skating or skiing. A 3\u2010tendon injury was the most common pattern (82.9%), with the majority being retracted at least 6\u2009cm (51.2%). Postoperative complications were observed in 12.2% of patients and included sensory nerve injury, repair failure, and postoperative admission for intractable pain. Most patients regained full hamstring strength (87.8%) and returned to preinjury activity levels (70.7%), with a mean follow\u2010up of 46.8\u2009months. Patient\u2010reported outcomes at final follow\u2010up were excellent, as 87.8% of the patients scored &gt;90 on Lower Extremity Function Score and 82.9% scored &gt;90 on International Hip Outcome Tool.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In this study, patients who underwent open surgical repair of proximal hamstring tendon avulsion had high rates of hamstring strength recovery and return to preinjury activity, with favorable patient\u2010reported outcomes and low complication rates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, therapeutic retrospective study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ars2.70150","type":"journal-article","created":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T12:31:27Z","timestamp":1792585887000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Open Surgical Repair of Proximal Hamstring Tears Results in High Rates of Hamstring Strength Recovery and Return to Preinjury Activity"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1299-1529","authenticated-orcid":false,"given":"Mohammad Mesfer","family":"Alzahrani","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, College of Medicine Imam Abdulrahman Bin Faisal University  Dammam Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brendon","family":"Swift","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery, University of Ottawa The Ottawa Hospital  Ottawa Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zaid A.","family":"Alzaid","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, College of Medicine Imam Abdulrahman Bin Faisal University  Dammam Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdulhamid","family":"Alyousef","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery King Fahad Hospital  Al Hofuf Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Pickell","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery, University of Ottawa The Ottawa Hospital  Ottawa Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Geoffrey P.","family":"Wilkin","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery, University of Ottawa The Ottawa Hospital  Ottawa Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven R.","family":"Papp","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery, University of Ottawa The Ottawa Hospital  Ottawa Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9107-9241","authenticated-orcid":false,"given":"Allan S.","family":"Liew","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery, University of Ottawa The Ottawa Hospital  Ottawa Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,21]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4899-7510-2_3"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546508316021"},{"key":"e_1_2_7_4_1","first-page":"11","volume-title":"Proximal Hamstring Tears: From Endoscopic Repair to Open Reconstruction","author":"Pickell M","year":"2020"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.RVW.N.00108"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsams.2009.08.003"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12178-007-9018-8"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/036354659702500116"},{"key":"e_1_2_7_9_1","doi-asserted-by":"crossref","first-page":"490","DOI":"10.1055\/s-0031-1273753","article-title":"Treatment of proximal hamstring ruptures \u2010 A systematic review","volume":"32","author":"Harris JD","year":"2011","journal-title":"Inter J Sports Med"},{"key":"e_1_2_7_10_1","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1302\/2633-1462.35.BJO-2021-0196.R1","article-title":"Outcomes following surgical management of proximal hamstring tendon avulsions: A systematic review and meta\u2010analysis","volume":"3","author":"Hillier\u2010Smith 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