{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T15:17:27Z","timestamp":1783955847528,"version":"3.55.0"},"reference-count":31,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2009,6,17]],"date-time":"2009-06-17T00:00:00Z","timestamp":1245196800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2009,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Complete proximal avulsions of the hamstring muscle group may cause significant morbidity and loss of function. These pelvis\u2010near musculoskeletal injuries are mostly acquired during sports activities in a hip flexion and knee extension. Here we present a study group of 6\u00a0middle\u2010aged to elderly patients suffering a complete proximal hamstring avulsion and following early surgical refixation. Early surgical refixation leads to complete resumption of the activities of daily life without loss of function.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and methods<\/jats:title><jats:p>The 6 patients (3\u00a0men and 3 women) included in this study had an average age of 59.07 \u00b1 4.47 years at the time of injury. All of them suffered a complete avulsion of the hamstring muscle group. Surgical refixation was accomplished with the corkscrew anchor refixation system (Arthrex Manufacturing, Inc., Naples, FL). The cases were retrospectively analyzed using a hip joint evaluation system, the Harris Hip Score, and radiological follow\u2010up by magnetic resonance imaging (MRI). Data are given as mean \u00b1 SEM. Student\u2019s <jats:italic>t<\/jats:italic>\u2010test was used for normal distribution of the data.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean follow\u2010up time was 31.83 \u00b1 18.9\u00a0months (range: 10\u2013118\u00a0months). All patients were rated not to have a significant difference in function compared with the uninjured side. None of the patients suffered any handicaps resulting from surgery or the injury. A complete consolidation in all patients was observed in the follow\u2010up MRI.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Early surgical intervention and subsequent therapy in a complete hamstring avulsion injury may prevent loss of hip\u2010joint stability and prevent the sequalae of degradative hip or vertebral events.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-009-0099-y","type":"journal-article","created":{"date-parts":[[2009,6,16]],"date-time":"2009-06-16T21:44:49Z","timestamp":1245188689000},"page":"1605-1610","source":"Crossref","is-referenced-by-count":45,"title":["Avulsion of the Hamstring Muscle Group: A Follow\u2010Up of 6 Adult Non\u2010Athletes with Early Operative Treatment: A Brief Report"],"prefix":"10.1002","volume":"33","author":[{"given":"Ladislav","family":"Mica","sequence":"first","affiliation":[{"name":"Department of Trauma Surgery University Hospital of Z\u00fcrich R\u00e4mistrasse 100 8091 Z\u00fcrich Switzerland"},{"name":"Department of General Surgery Spital M\u00e4nnedorf 8708 M\u00e4nnedorf Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrian","family":"Schwaller","sequence":"additional","affiliation":[{"name":"Department of General Surgery Spital M\u00e4nnedorf 8708 M\u00e4nnedorf Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christoferos","family":"Stoupis","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Radiology Spital M\u00e4nnedorf 8708 M\u00e4nnedorf Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Igor","family":"Penka","sequence":"additional","affiliation":[{"name":"Department of Surgery University Hospital of Brno 62500 Brno Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jind\u0159ich","family":"Vomela","sequence":"additional","affiliation":[{"name":"Department of Surgery University Hospital of Brno 62500 Brno Czech 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